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DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE

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

Par . aus~
IMPORTANT: Indicate type of cotnvnitfes you are reporting for:

( t )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate


(5)County PAC (6 )Ballot Issue/Franchise Committee (7 )County/City Central Committee

Political Party
,42 ,0 A t?i? r6 t 7-P
District (if Senate or House)

Late tiled reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:
I AM FILING A /O -/ S'-~) 4~( REPORT FOR AN/A (1) ELECTION 1(2)NON-ELECTION YEAR .
(reportdate) Indicate one
CHECK IF AMENDMENT TO REPORT DATED Local Cornrnittees, enter Date of Election

j] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

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 .) . ... .. .. .. .. .. .. ........... .. ...$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ... ...... 3006,00
Schedule F: Loans Received total (Attach Schedule F) ... ........ ... .. .. .... .... ... .... ............ .... ..... . U
Schedule H: Total Sales of Campaign Property (Attach Schedule H)............... ...................
(Schedule H awliasto Candidate! CommitteesOnfYl
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 (if final report, balance must
be zero) (Attach DR-3) ......... ................... .. .............. ....... .. ...... .. .. ..... .... .. ..... .. .. . . .. .. . .. . . . . .. .. ... ...$ _5 e .j y
*'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) ...................... .. ................. .... ......$ a
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES t,-N O
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
Reset" F_orm :
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) I RECEIPTS -
(including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organizadon) AMENDING FORM

R e ed (=Q /-- f~a u .Bp-


STATE CANMATES 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 688.32A(6), Iowa Code, prohibits the use of information copied from reports and state for soliciting contributions or
for any commercsai purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESSOF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM7DDlYR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
ID#
C r /,/ Y
CK# pd /3a x (03~ .
0 e

_ CK#~~ ~a? 7`el'd'QCe At- Q


o~ S /g,,7
ID# Nor n7'0
CK# o2~4d' S ~i dPr'r~C D Si'P. .7.DD
ID#
~hPIl4 L~~-c~S 7`,l'O
. nr
Ile '/ -e 5 10,171'q .17

CK#
1 ~5a :
ID#
. I S4 /9.U
0
j % ~'~
- . CK# U ~rlk r~' r1 ' , Dt~

C `~-
a
ID# (Q d ~6 S=eJ~ara~ 'r'
.1 cr t= Lc~-. t ~'

CK# ~~ ~~,(ne~: Sce :71P,7


r a ._ OZf " ~
ID#
cr l' A S'r~r 2'A
/J&
W e57 of
5 -0~
vJi .- ._ ." .i--i -" J
ID# 6/3
LZNi7rd 5'relol w6Ch~erS o F a MP/`iC fc
CCs( &,1 Q

6-uioa 5 c~o D~, o ~' (^a


CK# ( ~ i
~XJ`i70~ /~ QO
SUB-TOTAL

TOTAL (lf fast page of is schedule)

" Disclosure law requires candlrmb corssAses to disclose the rebtforsxhip of any relative making a contributlon to the
committee. Relationship must be shown to the thhd degree of consargurdly Miood reladvas) aid 80* (rma#Ves by ~
mwrlage) . N sumetne of contributor Is the same as cendidete, but there is no Page
farnlalai relationship, enter °not appik ;abis' in the relationship coltunn . (for Schedule A)
For Insbuctions, Sell Back of Form
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Re,.. o7ro3) RECEIPTS _.
(tea cr*dd@Ws p.no,ai *
.%s)
0 CHECK THIS 13OX IF
COYROTTEE MAME (AAW bo aanm as on ShsAsn»rttdAwl AIu1ENOMK3 FORM

l'C Pd Col` /o u .5
STATE CANWATSS NOTE !F A Gommumm is FROMA STATE PAC (POLmcAL ACTiou cowAnTM LISTTHE PAC mEmTEICATm
NUMBER Alb THE PAC Cl*EK NUIIEER IN THE OESKMIM COLUMN. A LIST OF mNI4WAS 18 AVAILABLE FROM THE IOWA EINC,S AND EAIVAM
OR9CLOSURH BOARD.

CAUTION Ssodao 588.32/1($). le)ura Code, p


: f use ofhftmtetlon copied tm mports mid solid*ng conrAmAiorm or
far anY oormwdat pt+pose by WW person ~YIW StmlUlaypout oorrfn~6Bas.

GATE . YY7Ry I" "" - M2"R"~..'ss


~"" tF FOR
RECENED (if app***) TO CANDIDATE' PECENED FUND-
"KM") AND PAC CHECK (if appreab+e;. RAISER

~tlCas ~'a~ Ta~`S~l' ~S5 rte° P #

a C'~S Cha~~ , . a har

o'ud~1~
__
' -6,4
~ 16 6 2
I UnrltlLelSe'Nps-
/ KFS~
ED
wS lSa N
Ifs#
v ~aN~~
CK# iq~G ~~r~h~P Dr ,
a B d Sk ~ 57

~c o L ld ve ~~ ~
- -_o 5 7~ z

CK# ~60 s'2 o !?(o ,/ ;,17 fitle


_ _
El
I
CKS 6-5 sr,/,
-~ 6 ~ GPJ
io# » r In c
cK* 1c)2 15- r ~.~--
5 c6

C" 5 6 736 -/7a~'~ 1~P,


-S'-a zap r ,~,~ 5a "cvf

.J tlzy El
'. " ~i' -

" Obdo rs Iwr+aqutar canftkYY aoe IN dodrdiss towihilorehip of arrr nlrllra enkkV aaorl141aton totfr
mrncltwa. Rstdorrhip mwt tie sMowr+w tha ihlrd ~Pw ofcarn8lltltq (4bod arld ~ trr~rra by ~
nariiwps) . Nslrrwne of oorAdMAor is 1ha sarecs ase~r~IBctrc4r, but ttmo to no pop of
Mm*W fir, ~ -notappitmW in t P cxkrrwi . (for SctlsdcSa A)
For lraerao8ons, 8" are* of Fixna Flu=- M
-
A MOrETAxrr
CONTRIStiTIONS - MONEY TAKEN !N (Rev. 07)03)] RECEIPTS
pm*IdYmansOri's Porn"ilsdt)
D CHECK TI= BOX W
CO"Av v'w PAAW fAwt be swrw as on SmawmV of 1 AMElVDIMO FORM

'-ec{ ~a~' ,~a u se


STAT;GOAMWOU IDt iAOOMTpmam "RUMMOMU AWATE PACVU7TWA1.1CT10M M LIST Ti!NC CBRi10AT"
IRr~l1UEiYl ~IIIG p~pt l~ lI EI7i" '1~ s~i A USTOF ID W*A~* 0~IlAr1.t W0iM TW VWAOHMAND WMV4OR
OIDCt.001J1rE b~11O. j

CAUTM: 9ocllae 8l.32AM law COCK P f u» Of Y+rrlenOft 00#w! Um rs0orlr snd for a
ibr ww wnlmordoiprxPow bY OW Proon 460 ME OWILMY 0~ MVNMMW
I- AUDLffr -4 WPM
} rl TO CAIOOMTr F&ECd11'ED FUND,

momccHem
t= r v s ,v 1-- . r few

6 s_
O ~0aS
77-a >n

,3'0 6' is

ti~
s
~,2° _
O 027,
EZ]
f7? /C`?qP~ m
cwe
_ x i .c' 3,~ s ,-
5 . .5 5-57
w 'I /c°
ir~lk -8Z2 (o
Z 8 Cw Gdu~,a 7'fa,~ / Cornr~S

I
1 1~5 l S ST' u .

im
C" k./,
a oaa D
L'7eaw C oape~'
ptF ll,~1G ~ u~BPfl~.~d SJ'
l

part plaftl; '--I


pa
16 _
mob ° 5,5r% --,,Oar
_
cm
'
777 3cld 5T. Ell
Rw 9 gQcm~-6r~
acs ~~L7.~~, ~a A "9v e
^ ,. Y
I7 -7 52
LC(CI~ 5 Cd ?mod ~~~ 1

C _
sds-roTAl
O,cld
TOTAL nrh .cp wof *A sWmdmW

oWdo+m. Lw x.**m omdMM anvmdl.M ID ONdlftb "*MONO* 410V R*40 Lrg"a..alo.n ww


awlll~s. Ilirrw.+~Iwrtr .lw~+lsw..S+..,r..dea~rSrsla+wl~+.aan+ .wl~r ~w a r" d L
E.LnLM. deo1AI"1IAr Is tusaiwls w arlifds, Duttisln Is no (W sctw*Ao A)
For bw&uoilons, See YWlek of Fortes
A MOWTARY
CON"UTlONS - MONEY TAKEN IN (Rev . 07)03) RECEIPTS .
Mollriq mwWUti'a PwawW*n&)
LJ CHECK TM WAIF
1t d, MMEND"(1 PC~
Cob PUWE (bat bwa~nra Won-3119 1 i

~'c Ao
RATE 11016~ IF ACOIt'fla1YTIDt11f 111110WOOt41DU AITAIEPAC pmoLrtw#LM nm comwrTm LmrrTm wIOE!(i1Fgop710N
" SMDIIA" IOIIAPRSC"MID0i1WAIM
I~y"tIIW'll~MCC IK~ R "17fR1»'~ DCdIYI . AL"TOFDMAMltJSA
OIIICLOaI~ PDltl~.

forrawaaYGsxlt+tfauYons or
CAUT101t. BrrAlon lid.3?A . Iowa Coe1a. Dc4hlita »wdinklttlwbon wpvd fvn+ rnpalll rd
tier tlny aonlnlrc111 l " pvwby ay Pwron onnr Am K m l p~ aoltrl1 -0
_T .
~~~ j, 11 ~FOfr
DATE R1iVED FUND-
1iKa%S) ~ 1 ~ CA10K~1T~'
RAl"
"#DWM) AND PAC CHEM tK apl blr),
SIMON
c //,OA/ f-,& e
co o Bdk J~~
/VA/ ;Il e . 2W .db
;jam e 'D

rc ~c}et,u?y ,f~Pmdrl'aT~ C C r- 11Co"t,


f-M
ID* Oat moko,-P Y
R ?- ~-m-a

aal . ~aol 5

qK>p ~ek~~ ~ czrd~

Gdl

me
as
i

ME

CK1p

TOYAL (WAS*~ ar wr aahadu*

bilr
~w lwwlpwaOa "~_~11111i"_ODkk~">tr w1~a111~ ~wrn1iI~Y "arla' aiA1~1~
~Ir ~wlbwrlaat+rli pd~Ilw~M
row a1
naPr~1, 11a1eawn aw1YAI~IIiri1b I!r arllaar arl lr~1
M mta11o111h1p, *not apptaabld' In Yes oallaem
FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE
MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
EXPENDITURES --
(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANOtBATES, LIST THE CANDIDATE t0ENTWICATION MUMMA IN THE DESIGNATED COLUMN AND TIKE 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)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED {)f We) (D1atr+ratfwnq WAS MADE
(MMID01YR) AND PAC
CHECK
NUMBER
ID#
CK# 173 9 Ca5T
P recd dqva $ ? 1U

(n e rr;11 5 ;-
CK#
-Y .

CK# 71 7 ~ /~G itrcx'r 1`6 LaCAS ('a

y-a61 61
ICJ#

CK#
c 1~=~~
ID# u 5 PO-5i" li E-5S'
f-C` ,(ndL i
M Fs~iJl Si~
CK#
D -S y'~r 3 2C) .
ID#
lTlBA Raj 1,1 eo M P~r~ < Fo g
CK# d NC ^A 7 d F 00- ad~l~P~7s s
q_ G~ 0-1 Fey
eZ ,
ID# jJ 4 PC% .SIr' .T^ey' .u7 Tar
; copyYa5r'5
CK# 7/7 A fb ,(f w P,ST -Td LU c0 S no,
lay A~ lv s 't 3a- -2i
ID# "~
QS ~'1 52 xleaef /mil' Fu15,~c~2!' ~t S 3Xrf
/501 w
PC) g ° k 5,;,U
t7 w c, aW ,~..
SUB-TOTAL $0~ b

TOTAL (Hlast page of this schedule)

THIS BOX APPLIES TO CANMOATES7 COMMITTEES ONLY :

Purchases of certain campaign property cosWg SSW or nwne ntud d9o be kwer0onfed on Sohedklle H. (RsuW to Schedule H butru .)

Expenditures to personslentitles provk" consulting, advertising, fund-raising, po , menaoV, organizlng services moat also be detall Itemized On
Schedule G by the amount, purpose. and date of each type of expenditure made by the persWenNty on behalf of the date's committee. (Refs to
Schedule G instructions and tam Code St3.8(3)(t) .) _ _
I
FOR INSTRUCTIONS. SEE 8ACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev, 09197) EXPENDITURES
$TAT* PAC CONAUTT4E% . LOTS: FOR CONTRIBUTIONS MOM TO STATEri10E OR LWSLATNE
CANOMATEt, UST THE CANWATE IDEIIflF"TIOM MUM 1N THE DENBMM COUAAM AM U*
PAC CHECK MIMER FbR EM04 EXPENCUTVRE. A LIST OF 10 MIMIItM919 AVAKABLA F1101117HE IOVM
ETHICS & CAMPAIGN OtSCLOSURE 90ARD.

THIS BOX APPLIES TO C ATEV't iTTM ONLY:

Pls of a00ln atenpeidn propoly ooa~~ iii a nteW do* be Y~w*mkd aar iK OWr b 8dle" H
wa QP ~+ 9 ~~P *a I difoaft*s cco ftYind
{firto
ScMdtf G baVuckrts and I wo Code 3d.8M)

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