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IMPORTANT: Indicate type of cotnvnitfes you are reporting for:
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
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#
1 ~5a :
ID#
. I S4 /9.U
0
j % ~'~
- . CK# U ~rlk r~' r1 ' , Dt~
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a
ID# (Q d ~6 S=eJ~ara~ 'r'
.1 cr t= Lc~-. t ~'
" 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.
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 ~~ ~
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.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
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_
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77-a >n
3°
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ti~
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cwe
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w 'I /c°
ir~lk -8Z2 (o
Z 8 Cw Gdu~,a 7'fa,~ / Cornr~S
I
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im
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a oaa D
L'7eaw C oape~'
ptF ll,~1G ~ u~BPfl~.~d SJ'
l
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sds-roTAl
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TOTAL nrh .cp wof *A sWmdmW
~'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~~
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aal . ~aol 5
Gdl
me
as
i
ME
CK1p
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.
(n e rr;11 5 ;-
CK#
-Y .
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
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.
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)