FOR INSTAUCTIONS SEE BACK OF FORM f = sal orscLosuRE REPORT DISCLOSURE SUMMARY PAGE ‘COMMITTEE NAME (i/ust be samg as on Siajament of Organization) » kecyclers AC | ArcRTANT: inet peo comminaa yu a repocingtor [2 (1 StatewiderLegaiawe Candidate (2 )Statowce PAC (3 Sita Pany (4 YCountyfocal Cancale {5 }eounty PAC 18 JBaltlauelFrancnigg Commitee (7 ounyiCiy Cental Commitee {2 iscoren Sai 3 Carat = LY] 673 ZPL¥ Mite 3 n filing this report) TELEPHONE: DATE SIGNED ‘SIGNATURE OF TREASURER (or pet (repor date) HAicieck ir aMENOMENT 70 REPORT DATED WIsfo> Scant & Lael Commis, ear Coury in Ci check if this is final (termination) report and attach Notice of Dissolution Form DR-3. (You must continue to fle reports unl a Notice of Dissolution is fled.) \eumieeeetiaties STATEMENT OF CASH ON HAND CASH ON HAND at tho beginning ofthe cepoting prod, (This isthe total al meries heldby the commites. The amount MUST be the Same a cach on Rand le edo eat 90g pote, p rms be zor hiss fret rept led) = 122 BO ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Atach Schedule A) .. ‘Schedule C: Fund-raising Events total (Atach Schedule C) . ‘Schedule F: Loans Received total (Aitach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) {Schedule H appiles to Candidates’ Committees Ontv) SUB-TOTAL.....$ YL3B.20 SUBTRACT TOTAL MONEY SPENT THIS PERIOD , Schedule B: Expereitres total (Atach Schecule 8) MSG SACL. Ge — lege? Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND atthe ond ofthis reporing period (rt repot‘alance must ‘be zero) (Attach OR-3) s iA 33. ID BILLS (From Schedule D - Attach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Attach Sched E)... OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ‘CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Atached?) —yrs __ VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) 0For Instructions, See Back of Form CONTRIBUTIONS — MONEY TAKEN IN (Incucing cancisale's personal unc) COMMITTEE NAME (Must be same as on Statement of Organization) lows Ate flecycfers FAC SCHEDULE A (Rev. 0897) MONETARY RECEIPTS, CO check THis 0x F| ‘AMENDING FORM ‘STATE CANDIDATES NOTE: IF A CONTRIBUTION S RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENIAICATION ‘NUMBER AND THE PAC CHECK HUMBER IN THE DESIGNATED COLUMN. AUST OF 10 MUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD, CAUTION: Section 688.32A(6), Lowa Code, prohibits the use of inlormation copied from reports and statements far solicting contributions or for any commercial purpose by any person other than statutory pollical commitees. PACTS NUMBER ( applicable) ‘AND PAG CHECK NUMBER, ank, Lowa fe Box 7132 Os keboosa lh S2*S77 familalrelatonship, ert “not applicable” inthe retatonahip column.FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE BAC CHECK NUMBER FOR EACH EXPENDITURE. J LIST OF IO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD, ‘SCHEDULE (Rev. 09707) MONETARY EXPENDITURES. Fa cneck THIS BOX IF MENDING FORM [COMMITTEE NAME (Must be same as on Statement of Organization) low Recyclers PAC CANDIDATE” | NAME AND ADDRESS TO WHOM PURPOSE ANOONT care | IDNUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED EXPENDED | —Grapptcabie) (Disbursement) WAS MADE qawpown | “AND PAC ‘CHECK NUNBER ; Dt 37. | Drake Gor Stale fea foe $20 fartrng tend a ck ng 7 20, OFT puscoctine, (A S>7e! So hes puction [SCO oF ck# [the a beye check Apparertty (De never reached rotor Dewke, Fb ke has not been cas hed iF CK# DF Ke De CK# oF cke DF Ke [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H, (Reter to Schedule H instructions.) 10 persons/anties providing consulting, advertising, fund-aising, poling, managing, organizing services must also be detaltemized on by the amount, purpose, and date of each ype of expenditure made by Bie persow/entiy on behalf of the candkdate’s commites. (Refer to [Schedule G instructions and lowa Code 58.613) Page fot _L (tor Schedule B)