Escolar Documentos
Profissional Documentos
Cultura Documentos
Routine Penalties Due For Late Filed Reports Range from $20 to $800
CASH ON HAND at the end of this reporting period (if final report, balance must $ gg/ ~~
be zero) (Attach DR-3) .. .. .. .. .. ........... .. .. .. . . . .. .. .. .. .. .. .. .. .. . .. .. .. .. .. . .. . .... .. .. .. :-. ..~. .. ._ . . . .. . ~.. .1 .. . . . . . - 07
COMMIT
Q CHECK THIS BOX IF
NAME (M st 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 ~/ IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 77 ,77 77 7`7, 7/7
l `4 ~oZ t'Gt~rS
ID# W, `ll,`crsit
o W-, s f'a G~dC AC)
l~l~~lO
1 CK# to 113
S'00 ~~cv~~ ~ pp
ID#
CK# 1171
1~~s /~o~rt~5 1~ So3a~
ID#
~~~g ~ sf
CK#S~~o 9 sow. G,
ID#
71 CK#~~75' ~~ 5 o Sc yX,~-/
I D#
CK#Sam
;2 sas .~
LY5 ~ .,~.e s
.I D#
/U,- f
CK#
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 ~- of
familial relationship, enter "not applicable" in the relationship column . (for Schedule )
For Instructions, See Back of Form SCHEDULE
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
ID# 47a
~slll~~ CK# ,5- 7 -
7~Z
a~ r~ s>Lo-1 %~ v`~ol.3l
ID#
lI~l cK#~ 57 36w W,:Z ( f' - LIZ
P5 iiLd~//1 5 ~ o~P
ll l~i CK# ;2 ao 0 3a s a 31 ~ ~~ +i
Kt'/~~:5 ~la' t
I D# i~d~''G" C~C /V,
w ,ff ~n?rtru.
~l~lf1 CK#
y7-77 r
1 S f~ . r9
ID# Sta gy ila u r "~ d
~7so Sccw
g'~O Ol cK#5"a7y
ID# '/
K Q u"~ lltr~
ID# o ~o d
/G C K#
o .m
.
ID# kJee r ,e S1crar-1 1
~' 3~
cK#33y ,cf
~.be5/ilm~~ses O3 /-:2-
1D# 3 jso
-tW 4 l
ID# Cer ar'~- Ze&
CK# C-0
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making 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
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 7rf77 77771 -,75,77177
C~s/'ct~1 vG
cK#isao To , s ..~
X412 ~~11 r o la
ID# 411f d De ~/~ Qr~asc
CK# a 00 9 e s f s Lz..~
/po ~
z"i4 ~oc~
ID#
CK# 415,1 z? A/ Iv. aeor~ rv
ID#
CK#IV-Xo3 3 ox .36-7
~rau' ~ .SoOG~
ID# f~a~ol~ard :i~r/.G ~~ ~CSS
lae
71,
I D#
1D#
CK#
ID#
01,521 93a~/ ,r4,`sho/> I/
CK# /(//0 /rte' . oi~
,Gu ~'oe~e C; ~ ..yr9 SG'6S"~
lD# .So e G~ a /5Vlr_
CK# 13 G 5.7'
CK#,',, 03 0
~~s /lho .-~~ 5 -tl~ .SQ3lx
SUB-TOTAL
* Disclosure law requires candidate committees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "rot applicable" in the relationship column . for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEi- ,A
(Rev. O6/97) I RECEIPTS
(Including candidate's personal funds)
Q 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 57Aio"fe-
Acrid
lFfoo ~ lae-
lam. a?
$
8'19l/0I CK# ly//46l3 4,1
o CK#
lvsy W l lrJulrlu ~-
67L
1~es d"i9~s l~ O3/-Z
~~ .eve ~/
g3 y 'Vl ¢
7/0/ c K# / a.
! s o~r7e -Z;0~' So 3
ID# ~'/dud's l~fJEJrZ
1-14
S e so -
ID# e144
, d,%?
CK# a 6 Sy ,~
S ~fsl~s ,r~ ' ~-D3
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 of 17
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
6 S6 6 3 ~ ~s~ $~. ~ v
CK# 6 F7 G
I D# ~. of iSt /UO"n
r1o?ff0i' CK#a/.Z.
-xW ,~3a l
I D# i~f c .P r
C/
CK# 76~fo iUcv l6
7.93 L~ .~Oo
ID#Go RW rt .67 4'
33 30 1- ~ , 33 Z
~~30 P/ CK# 5_W9'
E s "ivr s
. .So 3 i
l D# 1014 ~" ,G C+C cc3 is
y0100/ CK# /R P
/7
lD# !,e yK Q /f!3- ~~o r^f .7CG ,C74t LT r
CK# 1030 30 I/
A11-7 -7
ID# At oll B" ba lre~
sr I/
9 Dl CK# 73,6 ~y a?.S."ov
CK# ao
s m. far
ID# Tarr~LS GJ.'
CK#p7 1V5 J- cap
S-193 ,07
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making 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 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
G. ..nowa- ~n4 -/
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 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 q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# fo ,~ ~a~Ko~S
o S ~G
glriol0/ CK# I6 P 3
ID# ff l S~'ur
l
o/ CK# 7W11 lag dq~)
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS - MONEY TAKEi
A MONETARY
(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
i-~, 1
~, ~ <~ r _ZrP 4a2_ ~~rl c 7~
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE 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 (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
(D#
sdo 3 qs sf ~"~, ~~ moo
7~D~Dl CK# ?8'a~
e :. .G
99/7 Tv',Vf'ru- ~ ~.
lD# j-ar I?l<< s 7~?o r -
.3/o f_a sesV"i/~o / .fwd
t040
CK#
O 441a'74 1 le AOO. w
ID# ~`h4C ~G l7~/!f~'
/.~ Wq'~.<l!t! ur
o/ cK# 2 s6 _ vy
S //m,ir~s a3/~
ID#
,3mo U(,Ja lrt«f'
CK#al oz
b,~s a .i~s So3oy
ID# .Lo %s ls~d ~vrrul~ ~'2c v 'C~
SUB-TOTAL
" Disclosure law requires candidate committees to disclose the relationship of any relative making 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 .). Ifsumame of contributor is the same as candidate, but there is no Page of~~
familial relationship, enter "not applicable" in the relationship column . (or Schedule A)
For Instructions, See Back of Form SCHEDULE
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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
/1
70/
CK# 340~2
101
-
jlf .f-D3 /o
I D# J-,g.~,pk ~.l
/ CK#
Y~ v1r X1.1' w~.
7-3
CK# 7 9.-3
CK#
beu
ID# /YhG~IC ~~rlt~~s
a 8'3 s S .F ~o F,.~
~l y 0/ CK#
SUB-TOTAL
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), USTTHE 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-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# F(exa .l s~ ~rrl.~K
CK# so ;t 7 3/ f s ./
CK#
ID#
~. oa
CK# +Ltcs~ ~~~ oZ
CK#
aa,?.
ID# /~Jfcly~Cl
,~s
ID# lyl rc!?4tl A-Aest.-
~J~~ l ~f3y y! ~- s,~
CK# / 1/f `f.1J
0j? /i
5__
ID# Y; oe ~
Lvn: ~!~ 6Qa
pc ~ ! r.'O ST1
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page of f 7
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -MONEY TAKEI.
(Rev . O5M7) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 ./ IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ye ot o Q mad G i<
Col CK# a ,/4/
1,td v
e J~ky .tL Cp l
I D# (yp~~' Dtsl'~r,c1- C!rl ro .t W3f ClFG4>
So G
/off cK# -ill ~~
'
qtr t.,
ID#
f
CK# to /y 4>
W/lloi 77-0%9
ID# 4FS-owel .1-oa,aLou~c .`l 6/
~!! 3
a` ~jvc
10111/ol cK# y3_)o NW
1,bes /&, i/_- 5 ,~Oyt s-
o l
ID#,40 6 FGw LOca/ Z3 $C Cc.okN
!U ~5
CK#
V711/91
D /VcssWtva_ . -Z- S. ?S.
ID# 61 0940 /mca/ o~'JO
CK#3 Oo3
o~'a~roia ..Z-~9
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page Jz2 .-of _7
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS - MONEY TAKEi . .J A
(Rev . O6197)
I MONETARY
RECEIPTS
(Including candidate's personal funds)
orZ _Zp
AMENDING FORM
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 ,/ IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
CK#~ 5 ~
Fou~,ry.lc jcv
ID# T~/X 4~Ll,i~~JP~-
1066 ~-~ .-rd if vr:
ID# m,vr
r of
CK#
y - ~~ ` .~~ 3
ID# cTv LJW La 40
CK# !>rS
oll ~1/
l1, "75v. 4'
ID# e`!I'fs1.6~AYi aewlad`, -
1
~9a/
CK#
ID#
11 3 ~,:~~ s Sv3 -
ID# ~?d ~ulc~f.~lt~m c~'
~Ou
3 l° a .~~ to OSoG
ID# ac
lO~al~/off CK#losa ~ !03 N.
s o
a~ v
CK#
ID# H? ~,s
60/ CK#
9eo C,c, l~~ .al s .s~tfo3 `DO.~
* Disclosure law requires candidate committees to disclose the relationship of any relative making 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 // of
familial relationship, enter "riot applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKE, J (Rev . O6197) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
'M E NAME M
/ust be sameQStatement 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
L,l So 9 s E
,~-s z~o~
G CK# /D. ov v
D a~ Dl G6 ~s~ c~dyr. /eu . Vs sw ,Sa~o3
ID# 114 am-.c1 GKe we Wvc
CK# X33 9' !08'o Ill F ,S/rF
3 z cv
rS
ll so rts ~'
CK#
~~SG o ,,ir q sa
ID# Sa`t~ I~<s fon-
lwe ~~ s,~ S
J aGol CK#,
`17/3
l
ID#
1 ~o ys3
A
CK# L",
y! 997
ID#
So? ~roc~cdo~c
CK#
/1/717
,s"~
ID#
G lj?/ LOCuI Y/°'
tita,) r 6-4olw, w~
ll~llv~0/ CK# <~`S
,,7 v76 o
lbes o.~~~ r 4/ 3
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKE . A
(Rev. O6/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMIT EE NAME (Must be same as on Statement of Organization) AMENDING FORM
r1 1 -/- 4, lOGs12
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMTTEE), 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/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
lD#
&,4 4~) Z®ca/ a 70
CK# to o
Qox
s4d,1
ID#
907~ E !~~ 5
'
l llGl~l CK#
ll yG .~, -~
c oa o
I D#
~QSx k W.ls~-
l`lo~ CK#
~~r /J?m,~c,ts ..tom Soal~
I D#
CK#~~ s ~ 7y~~ v
`1o
111_2 // CK# 00 m
3~S"~ 3
l 1/
.;2 lol CK#
:,?o 9V ` «~ ~ wz ~~ ~oo-w
ID# T f.3 o
~1a74°l CK# ~~ ZW i -7.sz:> #W-et.., Pee k 4 v- Avv
~~ ~b
css lst ~r ~ ood ~
I D# d ht~ !.0 >- ~pK~la r
CK#
1 7 c ~- /O . OD
J D o
SUB-TOTAL
* Disclosure law requires candidate committees to disclose the relationship of any relative making 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 `3 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 ~( IF FZR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
C o.-Ca r-,,
s 97l
ID# f ,-,
` ;7 /ZIDI CK# -
30~ S
,V .e4J~ .~
~ 1~u1 Cv~s
sf ,;0~0
$
3D
v
ID# wee, ?
C K#
k 3s"
ID#
6 <t .F. ~r st
CK#
~4( 73 7~o n s
v
ID# Eu 1,!s pr~T,conr~ ~r':dtrs .ra!
ID# loll
;Ipi,Lt4-1l X,-wore
`211101 ,3Ao ~rZe~ L 9,c
* Disclosure law requires candidate committees to disclose the relationship of any relative making 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 of 17
familial relationship, enter "not applicable' in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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 (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~06e~~~Ad ~lhG!`s~
CK# oey
<<fo7 S 9' ~~l~~~
ID# b_ewovis
cK# 137 306 Sv ~ 7r Sam"
,72ars ~l ~K r o
ID#
S! 8
CK#
as $T ~D
CK#
I D#
a0 S
I D#
t o
ID#
iG . iw.e s 7~
CK#
777,Y'' /* l ~ o.-~ S3S63
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page 4:L
-: of 17
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ~/ IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~a *sa,VW S'ksPee
102v ME
I D# -
CK# 3 ~ r15-
S ~D
C
I D#
se ccWfr s yt.
1
CK# Sly 77 429
,f~Lt i1 it ~ 3
ID#
y,ae! :~s Sll i/~ 1.C9,llo 4C~
7
j,
CK# ~to
D 4 ales .~~ 6-z
ID# Q, l< i~O ~S
ID# jCC
SUB-TOTAL
Disclosure law requires candidate comm$tees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page 146 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
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/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ,Gu.~ cr h d .s'~"rs SL.a" ~.e.^
CK#~~~ s~. 90 1' t'3 Al,
N,~~ o Da
1D# Al
/~A IO CK#6& s 2 0 2002 86l
MA
ID#
47 o
ID#
ID# c
D~ u ,°doa"ed, .s4r"`,- leoy w
P~ 3
CK# 3 S, 09,
al~~ s -~T~ Soo ~~.
ID#
a,%1 .l~L?cam IQs
CK#a `a 5' /~1 .?~cr~Zr~,G ~lte, 00
S"s m :x7os 1w o /
ID# 1E
6,9 -7
_ ~ moo
ID# .e~l ~e
~¢Vi d d ~ ~e
7/ S s C ©.
/l0/ CK# a~ ~'
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making 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 sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for chedule A) 7
For Instructions, See Back of Form SCHEDULE
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~!GJ~al uCd ~~c ~"
$
CK# _5
SO
ID#
1D#
CK#
ID#
CK#
lD#
CK#
1D#
CK#
ID#
CK#
ID#
CK#
1D#
CK#
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Rehationship 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 ` 7 of <7
familial relationship, enter `not applicable" in the relationship column . (for Schedule A)
fUK .1NS l KUC I1UNS, SEE BACK Of RM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(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 CHECK THIS BOX I F
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD.
AMENDING FORM
c . 1~ ~ Sown ~en Q
97L,e,.,
ID#
G!5 Aost oy1:K"c.1_
3D ! So 3 is -
ID#
~ SF ~~ro ~-~-
7/74/w CK#
APO 3 jr
~6,1
r 8'
6/7h4V CK#
Ago e/
CK#
ID#
X9,0/'
M 8th ~C,t :G~rs
CK#~
h~ 007
ID# Ale. 'd,' Alzddlr;f_ '6fto-elo~ .5,1"
~3~y y
CK#`m7
Jas lA~.rrs, S.~ S~3
SUB-TOTAL $
TOTAL (if last page of this schedule) $
Purchases of certain campaign property costing $500 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1) .)
lfnr Rchorf do Rl
1-UK4NJIKUG11UN5, 5tt 1JAGK Of ;RM
SCHEDULE
«~ o
51-P;1
1 011
CK#
la
1'7315; 'r a~o-ww,/
~l ` <5 o3i
her'-~Ol CK#
/O//
~!73~s ,E~roh ~~oels~e~ ~Gl l
,~~s l~~Sb3~
ID#
\ $o3
.2
CK#,
Lr!3 %ins .Zf~ 51~31.~
I D#
CK#
8'00 ll.~" v,~ ` j3 7" 9s'
lo! 3 bas ,r .r s-
o3 l
ID# '
~~lDl0/ CK#
`DISl y, r ~'~ 3~D
ID# >°Q~.e~ 1.~.V~.~!?o~ .s~ 'Ta~~ flos s r
9~ /vi
CK#49 f ~
f~~s t~ ,~03~0
SUB-TOTAL $ ~~ . az
Purchases of certain campaign property costing $SOD or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)
Expenditures to personstentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i).)
(fnr Rnharf da Rl
FOR-INSTRUCTIONS, SEE BACK OF RM
I
SCHEDULE
~;171041?.0_4(
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
,so so sE l5/$&
N~rjtG Za 6V ls 40-
-,e,- $ lV11, .ss/
1ges~ 4u
CK#1©/
7
s ~O.rrG3 ~fl,so3~
SflCcv B4I
arcs
g303 i~ai'Gv~ d '~l
hoo
ctr vn F~
3S" sT -
app, ov
k:.~ It"os
SlEb~pG~ss~ SJ~
G 3. 0 ;7
~7 'eV
3 Sala
,~s ®.gig ~p 3/d
ID# /
~ a fists
Sw 6'.
CK#/.oa y ~~ ~~3 y
SUB-TOTAL $
Purchases of certain campaign property costing $SOD or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)
Expenditures to personstentities 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 personfentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(i).) /
lfnr Rnhariida R)
' FOR-INSTRUCTIONS, SEE BACK Of RM SCHEDULE
A
it/ q1o 1 P'l em/, D %~e
CK# Ivy6
,b .es rrL5,
ID# Al"a ovN a~-
la s ~ w
I D# I,G S w L, Ofia ! 3 /a
Q .'oa+d~~ clrs ~~~`s'c/
CK#/,2
D is oi6s sq
~j/a7/o~ ~,S' 'Pc7
t~ 3/ ~p
T1~
/43/LY c « s- w~ ~~ J~ .7d~~,sTeo.- Col Sao
~, 5 LZ s,~oihs ~Sl/ Jr'03/
IDS-.---'- ftOy l1 ~~ a
~~cl,
19-101 CK# A02 y
CK#
SUB-TOTAL
TOTAL (if last page ofthis schedule) $ /~`- 3y
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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
lfnr Rnhariiola R1
FOR INSTRUCTIONS, SEE BACK OF FORM
I
SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06)97) CONTRIBUTIONS
.4
.5-,w-o,- Fea
a7
yJry/~ Fvrd.~a%ser' ~S'
,/
SUB-TOTAL
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind 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
familial relationship, enter "not applicable" in the relationship column .