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- COt 1 / ~

FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE SUMMARY PAGECOMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )L . a w ~b ~ Y - 1

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Se

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I MPORTANT I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C an d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( 8 ) I S u p p o r t S l a t e o f Ca n d i d a t e s

SORER ( o r p e r s o n f i l i n g t h i s r e p o r t )

Ro u t i n e Pe n a l t i e s Due Fo r L a t e Fi l e d Re p o r t s Range f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AND COMPL ET E THE FOL L OWI NG SENTENCE :

J AN 1 5 2 0 0 2

1 12 ` 1 / - iI AM FI L I NG A

- ~ a V1

V

I 1

0 1 0 0a

REPORT FOR AN/ A ( 1 ) ELECT I ON / ( 2 ) NON- ELECT I N YEAR

( r e p o r d a t e )

I n d i c a t e o n e

OCHECK I F AMENDMENT TO REPORT DATED

TEL EPHONE

F ~ Che c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n Fo r m DR- 3 .( Yo u m u s t c o nt i n ue t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STAT EMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s a m o u n t MUST b e t h e

s a m e a s t h e c a s h o n h a n d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d ,o r m u s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A : C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FORMDR- 2~ DI SCLOSURE( Re v . 0 1 / 9 8 )

REPORT

F o r Of f i c e Us e On l yComm . #I n d e x e dA u d i t e dCo mp u t e r

U c ~

ZATE SI GNED

L o c a l C o mm i t t e e s , e n t e r Da t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

a _ 7 4 6 . 6 o - ~L q a , c o

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )1. avAbt r~w f or 5ev1

SCHEDULEA

I MONETARY( R e v . 0 6 / 9 7 )

RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L AC T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARDCAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p ur p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT t i i I F FORRECEI VED ( i f a p p l i c a b l e ) T O CANDI DATE' RECEI VED FUND-( MM/ DD/ Y R) AND PAC CHECKNUMBER ( i f a p p l i c a b l e ) R AI S E RI NCOME

7 / - 1 1 0 1I D#

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1 3 ~ a ( I D # Pa4r l, c . K Ri t e I l e5 ~ a g I S 1 ' 5 1 - , l o0 .e1 0 CK# i v w l d % . S O I I I1 0 I q

I D# 4 0 1 3 soon Al t d 4i hs s . ou4ah PAC505 5 s w A, t Al Sf e . 333 1 n o 06 ,1 0 1 CK# 1 5 11> T I C S o %Ar X4 S 0 3 0

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dmce t a r t A. j $ ' F e . 300 ; L . 5 01 . 00w04 t ' De 5 l u c wl , F ~J50 x65I D# 1 , 0 .

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )

COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t e me n t o f O r g a n i z a t i o n )- ~o r S-CAaq e

SCHEDULEA

I MONETARY( R e v . 0 6 / 9 7 )

RECEI PTS

CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S REC E I V E D FROM A S T AT E PAC ( P O L I T I C A L AC T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PA C CHECK NUMBER I N T HE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARDCAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a ny c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ~ I I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ERNUMBER I NCOME

I D# ( p 1 4 ~t 0 f 1 1 / 0 1 CK# f o o l ~ i c . k wa ~ Ra S t e , a d o a5o . 0 03 l r i ~C ~ , A o , r , P S s r 4 s o 3 a

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6 6 6 66 6 a h&~. , ~t e ~~1707 a5o , Odo / 1 - 5 / 0 1 CK# I ` t 3 & 5 0I D#

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l D 1 1 5 j D (I D# ~o b 9 z~st ~. ~ s t ~ ` ~ f ~ -q o o ( 5 t - 1 1 Sh e ~~ ~5dc K# 3~ , b t 6 t ~ l ~ fi A, o s 5v~~

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Fo r I n st r u c t i o n s, See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKENI N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME( Mu s t b e s me a s o n S t a t eme n t o f Or g a n i z a t i o n)

L ..avn,~~ 4(f sewoA2STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I CA L ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F ICAT I ONNUMBER AND THE PACCHECK NUMBER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se ct i o n 68B. 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e by a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c ommi t t e e s

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECE I PTSQCHECK THI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# 60 ' - ~ f ' f t u , e- sCK# x10 6 1 i n o f ~u ~ R" oat h a ~ . Q0W oi o sOo~ J~I D# Sf ~ W. 1 f ~ h c ~ '

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Fo r I n s t r u c t i o ns , See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKENI N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEENAME( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n)ql 10 41- 6, 5eVGL~' P

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F ICATI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e by an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c ommi t t e e s .

SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED

PAC I D NUMBER( i f a p p l i c a b l e )

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PTOCANDI DATE AMOUNTRECEI VED J I F FORFUND-( MM/ DD/ YR) AND PACCHECKNUMBER ( i f a p p l i c a b l e ) RAI SERI NCOMEI D# &r b C r i ' I - I t h d e ht o / 1 5 / D 1 CK# 1 6 1 a 1 r ' S * * 1 S+ 1v e S h ~ $O~Sdl o l l s l o ~

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I ~ l ~ O l CK# D0 , 0 1 ~ '' R S Q Hi D l f 5 l 0 1 CK# 3314 u 6 Or , Sd c t ) XO oZ .

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F o r I n s t r u c t i o n s , Se e Ba c k o f F or mCONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( M u s t b e sWe a s o n S t a t e m e n t o f O r g a n i z a t i o n )1 . . o . t M1 , p e V ' + (

4- i SPv ) 0. +e

S T A T E C A N D I D A T E S N O T E I F A C ON T R I B U T I ON I S R E CE I V E D F R O M A S T A T E P A C ( P O L I T I C A L A C T I ON C OM MI T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T HE P AC C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I OWA E T H I C S A N D C AM P AI G ND I S C L OS U R E B O A R DCAU T I ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s

SCHEDULEA MONETARY( Re v 0 6 / 9 7 ) RECEI PTS0 CHECK T HI S BOX I F

AMENDI NG FORM

DATERECEI VED

PAC I D NUMBER( i f a p p l i c a b l e )NAME ANDADDRESSOFCONTRI BUTOR RELATI ONSHI P

TO CANDI DATE`AMOUNTRECEI VED

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( MM/ DD/ Y R) AND PACCHECKNUMBER( i f a p p l i c a b l e ) RAI S ER

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I D# 6 1 o 7 Q W( - . , t z t 0 6 Ct o l 1 6 t o y C K # 30- t a g a s r l ~ ' 4 1 S f - 1 9 5 9 a s o A r l1 U- p o , s s v 3 oI D # 1 Q N i G x A So 1 ~ ~ 5 8 / ~l U l l d I C K # 1 4 0 5 C C t i r - t S - ~ t 1 0 C ~ . Cde [ ~A- So003I D # C r a y MR~Ga~ - r t t r ~ i S f i C , Y ,1 , [ 5 p k 1 a0 _ 2 ~ . ~t [ a 6 i * C K # .

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Fo r I n s t r u ct i o n s , See Back o f F or mCONTRI BUTI ONS - - MONEYTAKENI N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEENAME ( Mu s t b e s ame a s o n S t a t eme n t o f Or g an i z a t i o n)Lavwt 6( l ' 4( -Rv G-evw, +-Q

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI FI CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATEDCOLUMN A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se ct i o n 68B . 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e by an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE" RECEI VED FUND-( MM1DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

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( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

t a r

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STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D EN T I F I C AT I ONNUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se ct i o n 68 8 . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r mat i o n c o pi e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SCHEDULEA MONETARY( Re v 0 6 / 9 7 ) RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOMEI D# QACGV\ OLI n 1 a ~ l

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FOR I NSTRUCT I ONS, SEE BACK OF FORM SCHEDUL EEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CA T I ON NUMBER I N THE DESI GNATED COLUMN ANDTHE 0 CHECKT HI S BOXI FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NGFORME THI CS & CAMPA I GN D I SCLOSURE BOARDCOMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )

~ , O , I N t r u f ~ S~wLf eCANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ YR) ANDPACCHECK

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1 D#1 1 1 6 1 0 1 CK# ( , ) j q -7 b d i t Cap~ -b f A l Mr S . 3

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a 2 / o f CK# a 1 1 R a y g o a d ~ l u . c ~ h b T a V u s ~3cZ5u e 5 4 l O p o i rI D# WQI t S Fu ~ ~K

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FORI N STRUCT I ONS , SEE BACKOFFORM SCHEDULEEXPENDI TURES B MONET ARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v 0 9 1 9 7 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L E GI S L AT I VECAND I D A T E S, L I ST THE CANDI DATE I DE NT I F I C AT I ON NUMBER I N THE DE S I GN A T E D COLUMN AND THE 0 CHECK T HI S BOXI FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S A VA I L A BL E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mus t b e s ame a s on S t a t e me n t o f Or g an i z a t i o n)

l - a v v t I e a - v f I - ~ c vCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me nt ) WASMADE( MM/ DD/ YR) ANDPACCHECKNUMBER

W' q ~ a l1 D#c K# 1 1 0 3 5 , - k ~ ( ~~c t wt ~S $ 3L/ , Oa

nQ5 _ T~ f f i 503l ~ II D# We t 1 5 rS l a t b , CK# ' 7 t C ) ~ , 1 5 ~ , ~ 3 a h K - U~ c . a C L , Q r $ , I lt o i s o f CK# / l o q . 6 , i Sox ~l l c P r 75, 00J: A- 5 : 7

I D# - - I j e1: : ~b / a i a ; t o I CK# 9 1 0 e , 1S~, L ) I -c. P G~ 7s h - - Sooa l

I D# ` 1 -- 2 /~K7196 / 01 CK# ~1 o El 1

f~7, 51- 1 Se r v l c - ~ a t " 5. 0, 6

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FORI NSTRUCTI ONS, SEEBACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEEACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I ST THECANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHE CHECKTHI S BOX I FPAC CHECK NUMBER FOREACHEXPENDI TURE. A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD' .COMMI TTEENAME ( Mu s t be s ame a s o n St a t e me n t of

- ~OfOr g a ni z a t i o n)

a~- p -L' Owl qt r~( 5 - Q VACANDI DATE NAMEANDADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b ur s emen t ) WASMADE( MM/ DD/ YR ) ANDPACCHECKNUMBERI D # ( 3 , n d c g o 1 n J adA5 C I L A SV, A . 5 0 f S h j p - A v w t u a Id l 3 l I O / CK# I 0 ( ~ ( 3 c , ~ ~ t , , , Y ' Ia n i - - A- L i T 5X35 Go 1 - ~ FVRY\ f - $ 30. 6v

I D # ( i ~e , ( ~ S Fa f c Aa t AK~~ a ot o ~ CK# C11o Et I 5+, &N< 5 e r o I C e C ~ a r q 0 , 6 . 0 1

: z A s sI D # C G t ~ V ~ f ~ L . t y \ Q P r I h t ! ToV ; f 6 t f t 0 1 1 5a~ o I CK# t ~ o t ~ a l U~ i 4" 5 j . , p; Or P~r Ck i Se r 35 5 0B i w e Z ' CD#

o ~ CK# I ~ ~O 1 0 1 iPo g4 Y V ~ A94

~ ' ' ~~ ' Y ` 2 ~ a v v \ l 5 I o a ,D# 1 ~ 1 o ndoS ~~ , ~ _ I C OO I M P e v t 1 q 1~ 1 a 1 16 ' o I CK# / I 1 4 0 0 ( G ) e S + o u j r k r o ) q0 ; n 1 " oaI D # I / mo v d eS 800M r e v s I ~00d,

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FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TOSTATEWI DEOR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CA TI ON NUMBER I N THE DES I GNATED COLUMN AND THE 0 CHECKT HI S BOXI FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S A VA I L A BL E FROM THE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )/ , a wl I mY~( , &Y 9P1A k

CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ YR) AND PACCHECKNUMBER

1 D# . 1. o u l x ~ 551 " _ , f %Ct L . a I I J G. ~ 5 r a r1 1 1 1 1 0 1 CK# I l a i 6 S a t ~ 1 , L 0 ` - u ~ f ~ F 1, 3 ~s 0~ $ a . D . 6 t~ e S ( M u ~ > t i e g r ~ . ~3 e~ h n e r

I / a OJ O II D#CK#

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1 +1 ' 2 0/ 0 1

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I D# 1Y e ~ t i t t r e ~ ' ~ ah 6 1 P_T"CK# S - ~ C. k r I Z)fa FIG .l a l l 1 l o l j l a - 7 N c i r \ 03 1I D# t - k , v A f t i y , f i ( o ~ k ~ L a r o ~y t ' 4 ; Pb P

i ~ f C" 11a~9 ' 1 0 6 ' ~ / ~ I r , 0/ 0

/ 0a, ~I D# r

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FOR I NST RUCT I ONS, SEEBACKOF FORMCOMMI TTEE NAME( Mus t b e sa me a s o n S t a t e me n t o f Or g a n i z a t i o n )

Gt

1 4' ~ V~ l

~

4 ~ ; e i l l a` tNOTE: T h i s s c h e du l e r e p o r t s money l o a ne d t o t h e c o mmi t t e e wh i c h i s d e p os i t e d i n t h e c o mmi t t e e a c c o u n tTOTAL U NP A I D LOANS FROM LAST REPORTI NG PERI OD $~ , VVVPART I - MONETARY LOANSRECEI VED T HI S REPORTI NG PERI OD

( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b an k, mus t b e shown i f a t h i r d p a r t y i si n v o l v e d I n c l u d e l o an s f r o m c a n d i d a t e ' s p e r s on al f u n d s . )

TOTAL ( PART I )

$

` D i s c l o s u r e l aw r e q u i r e s c a nd i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f an y r e l a t i v ema k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e . R e l a t i o n s h i p mu st b e s h o w n t o t h e t h i r d d e g r e e o fc o ns a n gu i n i t y ( b l o o d r e l a t i v e s ) an d a f f i n i t y ( r e l a t i v e s b y ma r r i a g e ) . ( Se e P a g e 2 o f f o r msp a c k e t . ) I f s u r n a me o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b ut t h e r e i s n o f a m i l i a lr e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn w h e n i t a p p l i e s

PART I I - MONETARY LOAN REPAYMENTS MADE T HI S REPORTI NG PERI OD( L o a ns f o r g i v e n mus t b e r e p o r t e d o n Sc h e d u l e E - - I n - k i n d C o n t r i b u t i o n s . )

TOTAL CASH REPAYMENTS ( PART l l )

$

0

F r o m Sc h e d u l e E - TOTAL LOANS FORGI VEN

$

. V

TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD

$

P a g e I o f( f o r Sc h e d u l e F )

SCHEDULEF LOANS( Re v 0 8 / 9 6 ) RECEI VED&REPAI D

El CHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VEDMM/ DD/ YR

NAME AND ADDRESS OF LENDER( I n c l u d e En d or s e r ' s Name, I f A p p l i c a b l e ) R EL A T I ON SH I PTO CANDI DATE

I f A p p l i c a b l e * )AMOUNTOF LOAN

DATE P AI D( MM/ D D/ Y R)

NAME AND ADDRESS OF LENDER( I n c l u d e E nd o r s e r ' s Name, I f A p p l i c a b l e ) R EL A T I ON SH I PT O C AN DI D AT E '

I f A pp l i c a b l e )AMOUNTR EP A I D