FOR INS TRUC710NS, SEE BACK OF FORM FORM E_ yr_~.

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSU

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2003) REPORT

For Office Use Only

Comm . # f'
Logged In i'2eL
IMPORTANT : Indicate type committee you are reporting for.
Scanned
( 1 )Statewide/Legislative Candidate (2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate Computer T .~fJ
(5 )County PAC (6 )Ballot Issue/Francbiw .~C,otPmi e (7)County/Cjty C.tWl Committee
my ~ Audited
CANDIDATE COMMITTEES ONLY-1'
Candidate Name
iA1'1s Lot-
Office Sought District (if senate or House)

?
j~rLSL lz~ t"~"y~ CS 9- .~ _7-3 9 ; - 95-C4.
SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A // ~~- " REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

CCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

/L~C L% . 0, aCc)"k
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
.'X (You must cont o e reports until a Notice of Dissolution is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total of all monies held
by the committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period, or must be zero if this is first report filed.) .. ... ........ ... .......... ... ....$ xV9z4 " 6
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ... ... ... . 5 d 01 OlJ
Schedule F: Loans Received total (Attach Schedule F) .. ... .. ........ ......... .. ...... ........ ... ..... ... .. ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ..... ......... ............. ... ....
(Schedule H aaolies to Candidates' Committees Onlvl
SUB-TOTAL .....$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ('"also see debts and loans below) ....
Schedule F: Loan Repayments total (Attach Schedule F) .. ........... ...... ..... ... ... ........ .. ... ..... ... .
CASH ON HAND at the end of this reporting period (iffinal report, balance must
be zero) (Attach DR-3) .... . . .. ... . .... . . . .. . .. . ..... ... .. ... . .. .. . . .. . .. . .. . ..... . .... ... ...... ... ........ .. ... ........ ......... $

"*UNPAID BILLS (From Schedule D -Attach Schedule D) .... ...... .. ........ ... ............ .. ... ... ..... ........ ... ......$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. ......... ... ... .. ...... ........... ........... $

a
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . ........ ... ...... ........ ... ........ ........ ......$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)

For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
I COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

YV-7 Q-"n - .

STATE CANDIDATES NOTE: IF A ONTRIBUTION IS REC IVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION: Section 688.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

Jo
ID#

CK#
~O39 ~v' ~CiX J5(~
N
l/

FMI
I D#

CK# 3
-

EE
EZI
ID#
Xa 7 CK#
30 4 43a o~nae A , %1 1 s0
11
ID#
M
CK# 44 15"70 3 *-

A 4-j 1
ID#
1 ~-w ~~,~
CK# L~ cCr~~ -76
I _
ID#

CK#

ID#

CK#

ID#

CK#

Disdosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
oommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, butthere is no
familial relationship, enter'not applicable" in the relationship column . (for Schedule A)
 FOR INS7RUC710NS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

r ~- v
CANDIDATE NAME(/AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID#
10 77L J

$ 30, GC
1D# elall)uL~c -Top t o x ~g
cc,
:L cu t 0 ~~

Qo x ~a c,C . ~ (1-0
CK#
f6~: , lU C. _ Ta
etc ~y .
A-
"71

1D# r~
~L~
PrI
v
00
CK# 0 ~~,
">

(~1f, Mao ~UAd .

3
CK# x.051 ~~~ ~ j l O
I0 1
CK# )OS
1 w~
,
CO_~e~ U IZ, l
)o/
11 `~ CK#
p_ ;u.~ 6I-C,-t.,-p
130 N rna..v~ S-t
QS-,q
. I ~loa
t ID#

01 ~ ~~ x X07 5
cK# a

ID#
1U
70. &8
CK#

SUB-TOTAL 3'7,
$12 b
TOTAL (!f last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedu le G instructions and Iowa Code 68A .402(3)(i).)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev. 07/03) I MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

CANDID E NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID N EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
MI. R.Qe a~.o ~ 3 X~ 'ol ~ r(,~~
CK# k1'0Jr . 9~a
rtcw_
ID#
.7 tee.
U151 a4
CK#

/o ID#

/at CK# :~O(oq 3s7 3$

~CX
aa
ID#

CK# :5~~,3

w/o ID# SG-kao `tayL

5 CK#

ID#
/
°/a s CK#

ID#

IL Y CK#5;~ Lt

SUB-TOTAL .~ - v
TOTAL (Iflast page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i).)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS d. CAMPAIGN DISCLOSURE BOARD .

L
COMMITTEE NAME (Mustbe same as on Statement of Organization)

I , eL ?7~1 _- "yam
_
CANDIDATE NAME'AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#

CK# E.P G2~ $ S- r~U

~5JoC

1D#

CK#

1D#

CK#

1D#

CK#

1D#

CK#

i0#

CK#

SUB-TOTAL

TOTAL (If last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)

Page

(for Schedule B)