Escolar Documentos
Profissional Documentos
Cultura Documentos
JAN 2, 2 2002
COMMITTEE ME (Must be same as on S tement of Organizad,
F-T-0-3
IMPORTANT: Indicate type of committee you are reporting for: a
( t )StatewidefLegislatfve Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
12 &
SIGNATURE'OF TREASURE person filing this report) TELEPHONE DATE SIGNED
4101
Routine Penalties Due For Late Filed Reports Range from $20 to $800
C3 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) .... ..... .. ......... .. ......... .. ....... ......... ....... .......... .. ...........'~..
. .~
. ... ...........$ 3. X~ r
p-
UNPAID BILLS (From Schedule D - Attach Schedule D) . ..... ......... .................................. ..................$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .... ..... ........... ....... .. .. ........... .. .. .. .$
p _-
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . ....................... ....... .. .. .. ....... .. .. .. .. .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Fore 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
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
V CK# y/ sA'shla,t4AV(-- .
1D# G~tl1 vi
CK# i " d 91
level'-,"I ' - -,
lUew a~n n~-- SOlo`-~ t̀
I D# Jra k i Ko
9
°-t-t
ygYoI o 1 t 'l~
t-j
'~
171 ,
ID# ~u is ~t ~t tt r S' ~~t is1
CK#
c 3
ID#
A 1(aii F F),,d
.2 6'1 CK# 3c3 F/'r5f Acre
-5 6; t , ~' ' . G~clt'o
~r4rf!,
ID# ute i-, Cc Me-Y~- r
/n~a r, -5-2I %Z
SUB-TOTAL
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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# .
a ~~~ r f2 J F1 0l1~P
CK#
hl~ team~ l f~ n ~54- 1 $
SLC
Ne~v 144rn .4v n, ZA O67q
ID# --,re-n ~ Frd rf
1 v~~~E%U
5h (05 `~
tgCi,,/ flct In ~fOYJ/ .~~
ID# '
l Iii 14 , E Lf f1't `~1 i n `~
Ne VV, H a t-n TA
ID# RV,, rt ~ferida Y)
`~- 3 `o/ °Sf l7 hl _ ~~^i n 3 - l3 c~ X plc R
S,E~d
CK#
~at,w1er, 1 5 11~/
ID# ~. tt /VC_ Cad r. f ti l
.~_3_ol ///7 YChesthal y
CK#
c y(~l , .5~cw
'9-5a2', _TA
ID# & mix ~`~t~if~ --~' ua e vc,
. `J LetlCe___ i
3~ CK# ., 5-.~~~~
s (~ q u..
ID#
319 ~Ie M a~~ ~ .l tv s
Yel7 Fr Sunrrr 5t,_
CK#
pt, s6)
/llc w H jin ,1'A JV
ID# 4rneld ~ )-
CK#
Or,Se~e; .TA ~~/3(G
SUB-TOTAL
CINA T
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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Ma r e-~l ~ ~! hlE f ~ c' !
3 -3-c) i ,X/ ~~ Prc 5 pe, -1-
CK#
ID#
ID#
Nea r le 5 W, ~~ z rt cl L~rv
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
7
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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~e.u h j ~~ r rn a t'1
r
ID# T l1i- Tick--(7T r^Ci n
~I-A 5,2 i3 ~,
ID#
`
ID#
he n t3,t5 fa.
3 -- y.2 -0 l CK# 06x _v~ r
ID#
~1~;/J s Kf hn
CK#
C/,,_
G!~a IN -f x 5-6,
ID#
-Tckn Lobe,I<
s ~M~~_(~~ il d
>>
N~ W -do to f'ci7, EA
CK#
.5 - ~- C lC -Sd,UC,
ID#
~f1 Ill . ~ fK>ll
. rl
pc'
3 -2t CK#
N~ m -t~n
CK#
/,._zc, 3 L I -!-n -f' A v
~C C-_ YI II e . TIC Sa y6 ,6
ID # ma rvar-f F, Te Kl r c-~L >
fol7, 1A ~G ~ J cl C'n
Ne_vv I t4 `y
SUB-TOTAL
Re
A
1
9
MONETARY
RECEIPTS
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
May, L . h'jf I(~r
- . ~--~ I
CK#
~._I1 f s r
ID# .~-
CK# ?31
Ive-t",
I D# 4-Ham is Net vl s
y- I(, - 0/ Box i s
CK# °'
ID# K4 "7
.~ C'f W. fletrrri /f, n
CK#
New Nq t n p hvi`7 , . ~~
ID#
C~Qro ( ~cr~rc
.S,c:o
Flo d, A ~rc ~3,s
ID# c r-o_ M; l
CK# r c7C7 . c+~
/V fW 14 ,1 m~'forl, I-A .S -C'~1
~
SUB-TOTAL
' , r
d~ri0~ I v S~-vr~v - $I :
St n 13 ., Come ~c1`4Olt"' TOTAL (if last page of this
schedule) $
14v 0
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to th
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 -3- of
familial relationship . enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forr SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Re 061971 RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must b ame as Statement of Organization) AMENDING FORM
sr~' l~ (~ 70v,
en cc+~__
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 688 .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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# mimes A Er b -
J7-/o-ol 7,of- a ag'Ave, $
CK#
dharle5 6TA 3 -o616
I D# Ki cTcL rte( T, Te. Ki (~ p E-
lD .~vl !a3 -Main
D- CK# %~D<u0
/VeW G7~CN~ pt,R/ TA °~' a~9
ID# (~OS9 wcL wsm, 0If/AIuto . l iar U`s
S-1,c~-ten l flll l e r- . pq rl<
.0
Rat 0
CK#
We S My', h e 5, .14
8 -` - 01 i~~y- 3d-f~-,,
CK# 17 l .f .2 5c~, 00
4~1e s dk s M~ r es, IA -5 -o,zb 6
ID# 0&VI'd L .~ctll~l'_1^
a(3 S1r! T~rMi1 fir . llJ0,00
CK#
ID# Nu e7 te_r
l o~~c'> ~,l~'lfcc ( a -' ~ 6', 0c~ Yi
J -,20 - 01 CK#
~c l"1oflf-e5;-TA J
_c~~3oy
ID# e-fm leu m * v' he-fers of Towa_
CK# , c?~
SUB-TOTAL
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST 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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDD/YR) AND PAC CHECK (if apple) RAISER
NUMBER INCOME
ID# 6X,;c9 M,~,Pwesf- C ns emu`'f"':' cl] /'o J4'rG -h'oK4l
IDO 17 -
t/'-
411 ~c7 o , EXJ t/
CK# ,r~~ 7
yes Mo ; r)c5 IA _
_5 0,Y(2'7
ID#
t~ r`a CK#
/z- 3t -o /
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
ID#
~eVle'i.(.'E=e.1 /~Y' ,3u~st>r'~ IS C~r
14-ol CK# jl,Zn ~>x A
.
~h c vI 1 'IA 5e' 1c. 6-
ID# I ~~rVle~S-
sC) f (etletVe,~ S' o b 5c r6
1-.g 3e CK# //,Z( I '
o hl
rA 36
IN
Gtl , - En ve, l'y®s , r^
,-) - / 4c, ._ C; f Ma r` h
CK# / I Z :4_ mell' /In~y
Ne~ TA 30~ .~"I
IN
,~7'l/X Akj i //
/U3' l~. c_.stn4 f. A vim", rV
CK# I/ 2- 3
4Cw «N1 f -c,Il/ TA s06S`( 1~~ (A
IN En t-e.r{~ris c: ou :~na J
Purchases of certain campaign proparty costing $500 or more must also be inventoried
n u J H . (Refer to Schedule H instructions .)
o- rf Schedule
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK FORM SCHEDULE
B
- EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE O CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD .
SO L~ k N S~0a
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if appBcable) (Dtsbwsament) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
IN Nar fe,5 '('e5s
7 -~=vl CK# /1,7-t, ~o~ R~v~rs~ur~ u6scri fin i~~ne,,~nl
tp $
397
a ,s ,' T X06 /6
ID# r~ n~cW
( 0 . Box 6/l's, sabscr(F -h or) -ffeoeweal
CK# j/ . 7 ~ . 9s
cC/1e.~fe/, /'`IN .~S5Dc~3-lrl/~
CK# f/oZJO
~ek,v, #,t m p--f, IA S-6 5-1
a\ eA, ` cif 'rxt e-r -(o r
.2 .3 C, "ct i 17
1 11,
Ai! elnf 9a 1M pfoa/ -
VR n
IN '-pi( ( ~ri,n-te-rs -Pr; n4I, a 33 e-a 14s,
~l e"'ve .~1 es 4-or May It- 9/, 6 9
CK# l /30 ~Maf n-~
~c°_W C(a ~~f-oh7 /~
IN //o i-e-l rf, TX- a Mat`I4e S
Ilea c }--i c>YI - u In ~cc f s e r'
Wu I n u 4- 9.-1-. ~
l a cy
,Y-,20- 0 1 CK# 11 -31
7),- s Ma i' n e-9, I-~ -5-0 3 c~`~
IN e. Ne vy fla lffo rt l ri h u 11 e
P. ~, ~~x 39 0 l 0n
il-l~-~~ l cK# l 13 .~
/1/e uJ .u rn p fo h 1R 5c' 6 5 Y
1
SUB-TOTAL $ ~ /;
Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the persoNentity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
Page '1' of
(for Schedule B)
FOR INSTRUCTIONS, SEEBACK FORM SCHEDULE
1D# S.
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entitles providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FOF, SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statrnwntof OrgaMLMon) (Rev. 08/97 CONTRIBUTIONS
,6otll k: t) 7P -~-o r
t
tl-
El CHECK THIS BOX IF
AMENDING FORM
SU&TOTAL
page of this
schedule)
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page / -- of _L_._
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable" in the relationship column .