FOR INSTRUCTIONS, SEE BACK OF FORM DiscLosuRE DISCLOSURE SUMMARY PAGE REPORT » SUL 15 2002 COMMITTEE NAME [Must be same as on Statement of Organization) rated Groce arte of Ze IMPORTANT: Indicate typeof committee you ar reporting for: (1 )ttenidetegiive Candidate (2)Statewide PAC (3 )State Party (4 }Couryoca Candidate [3 county PAG {8 Batt lssue/Franchie Commitee (7 JCounty/y Central Commitee (Suppor Slate of Candisates ae ea SIS12E? Q4I4 T1022 renin {or person Ring tis reper} FELESHONE DATE SIGNED Penalties Due For Late Filed Reports Range from $10 to $400 ‘SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: TAM FILING A wr: Ty ly 14, 2. __ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR, (eopon dele) Indicate one [J] [OCHECK IF AMENDMENT TO REPORT DATED Local Commioes, enter Date of Blecion {a check tis final (erinaton repo and atach Notice ofDiesluion Form OR-a, | SONNE Leal Ces, rary in (Capers ele a me prieprer per neserarii ‘STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This isthe total fall monies held by the committee. This amount MUST be the same asthe cash on hand at the end ofthe lst reporting ped, 27 ‘or must be zero if this is first report fied.) .. Ss AS 1620 ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) comme SGI FP Schedule C: Fund-aising Events total (Atach Schedule C)... Schedule F: Loans Received total (Attach Schedule F) ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) Set ies to Candidates’ Committees Onl 3 SUB-TOTAL... 257225 ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD = ‘Schedule 8: Expenditures total (Attach Schedule 8)... a 227 ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND atthe end of i reporting period (fina repo, balance must 23 bbe zero) (Attach DR-3) 7. $ AO. L UNPAID BILLS (From Schedule D - Attach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E). 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) sFor Instructions, See Back of Form SCREDUCE A MONETARY CONTRIBUTIONS ~ MONEY TAKEN IN | omen nctuing cana’ prea nes) © oneck ras sox COHATFTEE NAME Mist Be same a5 on Salmond of Orgariaton AMENDING FORM a é lows toes OF Teen He [STATE CANDIDATES NOTE: IF A CONTRIBUTION S RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTES) LIST THE PAC IDENTIFICATION [NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. & LIST OF 1D NUMBERS iS AVAILABLE FROM THE OMA ETHICS AND CAMPAIGN DISCLOSURE BOARD. CAUTION: Section 688.32A(5), lows Code, prohibits the use of information copied from reports and statements for soliciting contributions of for any commercial purpase by any person ther than statutory politcal committees, DATE PRCTONOMEER TENE BND ADDRESS OF CONTRIBUTOR RELATIONSHIP AROUNT Receiveo | (i appicabie) TocanoioaTe | RECEIVED (umn) | AND PAC CHECK (apeabe) NUMBER . C2 Pere Hi forgre : . S 300d | one fo. Bix 30F 97? Coie Lath, Za S264 2s if eI Dewayne 2A ain 4 GS-02 | ce Ce bes [tbe Fs000 oF De Me = a 7 bt Foye * yppte S312 | cw C66 Wald SH (b Des wee SCH CL-1-7 ) if = Qe Lath Faye * ee 252 | ong Gee ba lnt 31 196 Dew a. cu309 Cadel) oF xe iF ks Ow cK SUB-TOTAL TOTAL (iflast page of this schedule) + Disciosure law requires cancidate commitiees to ciatose the relationship of any relative making a conttbuton tthe conmitte. Relalonship must be shown to the tis degree of consanguinity (ood relatives) and ay (latives by ‘mariage (See Page 2 of forms packet). if sumame of contributor isthe same as candidate, but there is 0 Page_) __ot_/ amiialelaionship, enter “not applicable” inthe relaionship column. (for Schedule AYFOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE B MONETARY — E ACCOU! EXPENDITURES ~ MONEY SPENT FROM COMMITTE! NT rr ore STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANOIDATE IDENTIFICATION NUNBER IN THE DESIGNATED COLUMN ANO THE Oo CHECK THIS 80x 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) ‘CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE, ANOUNT 10 NUMBER (Disbursement) WAS MADE (CANDIDATES See | EXPENDED EXPENDED | (tt applicable) ‘BELOW ENTER (@awoorr) | AND PAC 123) CHECK NUMBER We sdbes Fae Patol Terey IS /5¢2 | oxy Lo. Bey F394 cays E71 9 on aie Eas SCF 9D eabiseta, | OY : ps een For p/h? SVS 02 | cxe 0. Box 75S COs &, js) pete pea eae IDF G07 Vollrae Fer Deen Howse Sa ler | ce 869 > Fiksk st yk 3922 Chester Yak, Te $1499 pees 1O# cKit L/e1d Ga) Se7t DF G77 Deine, For Sent Ge toon. | xe Pode Deus. Milam PL © espe Br i2e Dems, Ta. seo?) Costeiteties | 7 Lats Ferye Rank S-3h02 | one Cob Abbe t sre (| pgat Des Aye sey Tn G32 aes ial ‘ 1 ste biap ren Kiprew Ie 6: Me? | cKe 4577 5" 5! ( ) |e 3e7b 2 S/o / 1 SUBTOTAL | Sy 577 Zi TOTAL (if last page of this schedule) |S [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: [Campaign funds may be used only for (1) campaign purposes. (2) constituency expenses, and (@) educational and other expenses associated wih duties of office, Please inser the appticable number in the purpose column fet each expenditure, Purchases of certain campaign property costing $500 or mare must also be inventoried on Schedule H. (Refer to Schedule H instructions ) Expenditures to persons/entiies providing consulting, advertising, fund-raising, poling, managing, organizing services must also be detail temized on Schedule G by the amount, purpose, and date of each type of expensiture made by the persordentity on behal of the candidate's committee. (Refer to Schedule G instructions and lowa Code 56.6(3)0)) ot Page.FOR INSTRUCTIONS, SEE BACK OF FORM (SCHEDULE B MONETARY EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT fmotcace | epee STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS WADE TO STATEWIDE OR LEGISLATIVE Sinobates Let ine cauOlunTe ein cATION MeMeGR Whe DESNATED COLUMN AnD TE 0 cHEcK THIS soxiF | Pat cue MBER FOR EXCH EXPENOITURE, UST ID NUMBERS 1 AVALABLE PROM THE OA pues ponviaal| Ensues CauPaioN OCLOSURE SOMRD (COMMITTEE NAME (Must be same as on Slalement of Organization) CANDIOATe PURPOSE THOUNT care | IONUMBER (Disbursement) WAS MADE (canoipaTes see | EXPENDED expenoeD | (rapptcable) SELOW a ENTER awnnora) | “Ano Pa 123) CHECK NUMBER DF 652 Karis For State Hoer~ | G72 | oe QI40 5. bles «ots. SI7F | Seca Oty, Ze Let Gotiihls Seco OR Svas | Pi tye Foe Does Morry bor) G70? | ony B90 Aspen Hills b+ YA S872 ke thenete, eZee 52 722. S00 (OF oe Check For Spots Ree: 4-3-02 | cKe 417 Baratin Avs. 4 227 Des 2, Spare sie S75 seeo (DF 1220 Kektw Foo (Cece If roe TP? | Ke, 0.6. Box #6 FISO Past, DA 2G 2% . oF 2 Z 1208 Peegle Fer bran PR irom 732 \oKw 90% Muh th ors Ktecads ae S2Qop 2 ie LAs Fargo 6-202 | Ke 666 velnnt dey Fhiney Te SOZCF 1O# TOTAL (iflast page of this schedule) |S" 79.43% [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: | Campaign funds may be used only for (2) campaign purposes, (2) constituency expenses, and (3) educational and oter expenses associated with duties of office. Please inser the appicable number in the purpose column fer each expenditure. [Purchases of certain campaign property costing $500 or mare must also be inventoried on Schedule H. (Refer to Schedule H instructions.) Expenditures to persons/enttes providing consulting, advertising, fund-raising, poling, managing, organizing services must also be detail temized on | Schedule G by the amount, purpose, and date of each ype of expenditure mace by the person/entiy on behalf ofthe candidate's committee. (Refer to Schedule G instructions and lowa Code $6.6(3)0)) Page_> of 2