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DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 68B.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
D#
Rrian ~, Darrc~c~-~
I
- Lj
ID# CUI`t-I'S L rr"
-
*113 i yctr , 0 t,
CK# .A b 3 - _ sc
1 '6~0' 1tv ./ S
ID#
CIJare~Ce wetljet_
-y-o5 CK#
e(--c6 cK# do vc
C*L LA- rr~ 1 .k ?a zUw~cc. 5~50I
ID# j-oe C;-erst
1 j'7 0C? j- i no - J-G h t) S U r-)
3 -1 (a O5 C K#
O ma t1 cc -~ -crt.u 5a 3
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. 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, but there is no Page ~- of _ 12
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 68B.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
RECEIVED
PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
(if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 7arbarc& ~CGC'C7r l±°
3 -- I IC -G5 CK# I G oCA-Dt % I (.~3y $
CK#
ID#
Bob
.Iht h s ,
I I H IF Cc C o c .~ r~ t y Rd,
i &, p I, V C d L- % I
j
' 034
m0 (0 (01
E:1
3-1(Q -U5CK# P,0 . Box-~53y
Lt-) hvorj+-c3v-) mL . (04 IC J
ID# L~c=d Itilc,~ClGlil
-,A C, CK# uc x 3 31
110
ID# ' 11 er
l l l .:> cc
Dt,tCW e
, Rut .
-,~ I C6 CK# uocie~rwood
Ch F6 C; za5C%&1 S
ID#
Richard KIube rtavl z
3 cK# J-41t, K"ffqs 1-Ynr~ I CI
StC7 a e hG' 11 u~ = s 3 :~ ~ ~ ~ °°
ID#
S-reuen Kruse
3 -X7 -b5 cK# a3~IS >-ii~nwcty Ih
I D# t
J ;t700 Jinn--To
# /Coo
sowo- Z5-1 .1c)3 "" a
ID#
#
kari~x Wiese
cK# 3asU N~ 9 6 tl"
.. ~, - =
aao
ID#
~r~d C rc°e
IGOg3 Q0) :St
-ly-U5 cK# 35-0
ma nard -TH 5c)to~5
SUB-TOTAL `L
I $ a~ 9 C?S".
TOTAL (if last page of this schedule) I
_
$5, 4, d6-
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. 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, but there is no Page _~ of _5Z
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
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)