Few 5 Fee Sica re Campen 7 , Sante eear eed THES © Beene ee Ai Se Fides ove soto OR INSTRUCTIONS, SEE BACK OF FORM ex er6a8i-0r8 DISCLOSURE SUMMARY PAGE 2009/7 16 i; 9:19 (COMMITTEE NAME (Must be same as on Statement of Organization) - re FORM Tech Pac. DR-2_ | ossciosune ee T—r—r—_—_=F=Fe=— =e (1 Statewide agislavelJudge Standing tor Retonlon Cancale (27Siie PAC (3 )Stte Party (4 }County Cental Commits (5 ]Courty Candidate (8 ly Candidate (7 )Schoo! Bost or Cer Poltial |Suaswson Candidate (8 |County PAC (9 )Gxy PAC 10 )Schoo! Board or OherPoltealSubcviion PAC. ( tact Bate seve [CANDIDATE COMMITTEES ONLY: Logged i [Candidate Name Poltical Party (Ff applicable) scanned [Computer [office Sought District (f Senate or Hous tea Late reports are subject to possible civil and cnminal penalies, Pursuant to lowa Code sections 688,32A(7) and 6BA 401(3), the candidate, for @ ELE WSO~7 700 vec op TELEPHONE DATE SIGNED vamrunca © /Y%ag/ /P- REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR. (er dat) Indes by # [7 COCHECK IF AMENOMENT TO REPORT DATED Tesi Conaitees, enter Dae of Elocion i check if this is final (termination) report and attach Notice of Dissolution Form DR-3, (You must continue to fle reports until a DR-3is fled) enh Cecien stan orm Counts n wien Electon shel ‘STATEMENT OF CASH ON HAND. CASH ON HAND atthe beginning ofthe reporting period. (Tota ofall funds held by the ‘Commitee, This amount MUST be the same asthe cash on hand atthe end 29 (ofthe last reporting period or must be zero if thsi rst repor fled) s 7.70 ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also s0e in-kind below). = ‘Schedule F: Loans Received total (Atach Schedule F). ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) _ {Schedule H applies to Candidates’ Committees Oni) SUB-TOTAL. SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Aitach Schedule B) ("also see debis and loans below), ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at he end ofthis reporting period i fna report balance must be zero). s “UNPAID BILLS (From Schedule D - Attach Schedule D) s “IN KIND CONTRIBUTIONS (From Schedule E- Attach Schedule E). s “OUTSTANDING LOANS (From Schedule F- Attach Schedule F) s CONSULTANT BREAKDOWN (Schedule G Atached?) ‘CANDIDATE COMMITTEES ONLY: VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s [STATE COMMITTEES: Submit a reconciled campaign account bank statement in January of each year. YES __NOFOR INSTRUCTIONS, SEE BACK OF FORM B MONETARY EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT fancy |eemenine STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES Ist THE CANDIDATE IDENTIFICATION NUMBER INTHE DESIGNATED COLUMN AND THE D1 check this 80x iF PAG CHECK NUMBER FOR EACH EXPENDITURE” ALIST OF 1D NUMBERS Is AVAILABLE FROM THE IOWA ‘AMENDING FORM EXsIGS & CAMPAIGN DISCLOSURE BOARD. [COMMITTEE NAME (Must be same as on Statement of Organization) bare, IDNUMBER "EXPENDITURE EXPENDED | (if applicable) (Disbursement) WAS MADE (mmiporre) | “AND PAC ‘CHECK NUMBER, asf rfer bells Harg® Gare |Servte Few CANDIDATE TAME AND ADORESS TOWHOM PURPOSE, AMOUNT (DESCRIBE TRANSACTION) EXPENDED ad ez oe/irfor Unit, Farge Cane | Service Fee shales lee lts Fargo Gant | Sereree Fee. ovfufor Wells Fags Gant | Service Fee SUBTOTAL |S 75 po TOTAL (itlast page of this schedule) TS 7, > [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases o certsin campsign propery costing $800 or more must. Expenditures to personsenites proving consulting, advertising, fund-lsing, poling, managing organizing services must also be deta iemized on Schedule G by the amount, purpose. and date ofeach typeof expenditure made by he prsoniertty on behalf ofthe candidate's commie. (Refer 10 Schedule G instructions and lows Code 684 402(3)).) 30.be inventoried on Schedule H. (Refer to Schedule H instructions.) oat Page. (for Scheduie 8)