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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE


COMMITTEE NAME (Must be same as on Statement. of Organization) (Rev. 01/2001) REPORT
S v \ \ r \ Q cc~- . i b ~n Lo w. ~, 1 40v¢ For Office Use Only

IMPORTANT : Indicate type of committee you are reporting for: Comm . #


Indexed
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee Audited
( 8 )Support Slate of Candidates ~ ; Computer

6
pAFiD
CANDIDATE COMMITTEE JOS &
g
Candidate Name SCLOSU~E Political Party
312 06
Office Sought District (if Senate or House)
i1.ED

1 '~-- 515-3621 -alo\ M&'3\ . ~.0 C~ 6


SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNEb

Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A M a.v '30 ' A o 6 b ~Y- REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one 1 \7
MCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

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.) . .. ............. .............. ..$ 6 \ 5 Q .5. t, Q
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ......... aJ )b 5 e . a d
Schedule F: Loans Received total (Attach Schedule F).. ................................................... ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H)..... .. ...........................
(Schedule H apalies to Candidates' Committees Only)
SUB-TOTAL......$ by \1S, 0 .
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) ..................................... ... ....... ..... ... .. . .............................................. . .$ by \'15 . o

**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 X NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

S'h \,\ \ li~-1 y \ 0r, C', e hn vrm I , 3 t- .Q . .e

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 4 IF FOR
RECEIVED ("d applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
INCOME

1 c : 1 \ Q. 5o S `o0 .ov
J J ID# ,, ~ y
605q *1:0Vpq ~ l1,y~q,3LQ G 1yJ~1Y,oY',JQ L.'T'4.,\2,+t'

CK# -a-,,A c~ t1s~ o ~~~~z Pn ..u Rq "


5--ib-.d6 is osn T Z 0a 65 500 .oc"
ID# t- 014 F~SSoC,c,.~-~,d C~sn+L~a\ Ce  ~v4c . ' ~~ 6Z- Iowa
CK# E.
o
%.A-55\
_1b~cb o~ct, _ o _ o - _
s 1500 . to
I D# 10 a2 -1
0 ,a,tv .t P R L ~. cw q
CK# ay\5 lobo 6 . .4~~ vnwv¢~ S~ -~~e 11e"I
_a _oto w a s s o
1D#

CK# 56i? N C--A- SVw-mA Q.0,. 13-* y6


501. G v ,, Ma-- 5 c \50 .00
ID#
Q z cue- SV 0
CK# 1 o D 5 la ,. 0-1a..,
15-15- Co. 500A9 50 .0
fD#
S\'n.n -oh C B0'Act
CK# '\50 OV~ kc: .r Pcs~V- RD
vs , s~- '~ ~,a - a 5 \ o o_oQ
iD# 6ac1°X ~
~¢.v'm~ .,-t1f C.Ov~v "~ .L~~6vm ~vnQ a~Q.ltS ~vv,a
CK# d S!3 q \°1 b 1a C c J S~ SSV V.Q.a\'
Cj ^ " 1_oi, ,~ 0 \FRO o0
I D#

CK#

ID#

CK#

SUB-TOTAL
50 .0
TOTAL (if last page of this "
schedule) $ b 5 0. 0 0
Disclosure law requires candidate committees to disclose the relationship of any relative maldng a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page I of . I ,-
familial relationship, enter "not applicable' in the relationship column . (for Schedule A)

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