I

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

Reset Forln
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only

~P~~rSAt) Lr" _!QCCP Q~ 19

Logged
ate,, 51-90
Comm . # , 1%
IMPORTANT : Indicate by # type of committee yo reporting for :
( 1 )StatewidelLegislative/Judge Standing for Retention Candidate ( 2 ) PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Ca ool Board or Other Political
Subdivision Candidate ( 8 )County PAC ( 9 ) Political Subdivision PAC Computer
( 11 ) Local Ballot Issue Audited

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B.32A(7) the candidate, for a candidate's committee,
and.the chairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports .
11
5/5 1- - -v(o
SIRG OF PERSON FI I REPORT TELEPHONE DATE SIGNED

I AM FILING A I - 19 - 0 t p REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #

Local Committees, enter Date of Election

C3CHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in

J~-Check(You
if this is final (termination) report and attach Notice of Dissolution Form DR-3.
must continue to file reports until a DR-3 is filed .) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds 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) . . . . . . . . . . . . . . . . . . . y 3a .0-9
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 060 , 00
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . .. . . . . .. . .. .$
2y3a .o~
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . . . . . . . . . I3X5,R~
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 I o( . y
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

**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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES k
NO

CANDIDATE COMMITTEES ONLY :

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
For Instructions, See Back of Form Reset Point SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
I
l ee-r c {-6L r ri of
i ( r
1 1-/
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 ANDADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR

RECEWED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM1DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# max Palnner
'00
u - CYld~neS =
ID# Nel e r\
CK#
()L . ad- uo _
' 1 aS 60L41 tA L-r - C c7L .~.r T,4 )-e> Syc-f -
ID# ~_

CK# J- < t 3 `) 3Lv O "` -

33
ID#
_2alozr- L-n-, e-

CK# l3 (~ - CALF- 01)

(s6s3 c tle a .1
.~ - ,~ 3
ID# oGr'S pe f e"S6r

CK# ,_ ON L{+-
aAcs
I,
L~c Box hots T S L-,0,4C--)
ID# M c~h 4 e I Pe g-e-r S 6 r-)

(talds ~19~ ~4tl .e ,d,e.i- SvSa3--`lS~~{ 5 V

ID# pa~at a Ny ~~
3~o r-~,
,i CK# d Sy SE .
3M 3 ~56S 541),
ID#

fJ -
CK# iL.r'dl tam . S
6
ID#

t . CK#~ P ~ . pox tL4 T

aLi
ID# e ~ Sca.r,~
L<b ~~~ S1
cK# A (30 ~
X , + _' . Ood e -1-A SOS-61 .U
SUB-TOTAL

TOTAL (If last page of this schedule)

* 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 windy (blood relatives) and affinity (relatives by
marriage) . 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
ResetFrnm

CONTRIBUTIONS - MONEY TAKEN IN

A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

_
V- c, L

STATE CANDIDATES NOTE: IF ACONTRIBUTION I 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-
(MMiDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

I ~ e- , C-,
r (~C~ ~
fa P~( Pa
M
(-\
a~ s e 12 O'S :
ID# ~2 5 I> a rl K
(hut -
M,
CK#
a t 3v fN asSE .

q 30 o S l e os ~ ~- - _ e, zl-1 Sv s~ i
ID# (' S F Cc vl iL

(D o1 _f- od e `jDS- Ul
ID#
CS 6Q lit )L
CK# . 0 K-) . a 9 ", Sf . _
( O S" J -
0e ! So S_c~
ID# C s 9a n 1C
5. Ood T. SdSo ( ~. I
ID# J

CK#

ID#

CK#

ID#

CK#

ID#
CK#

ID#

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) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable' in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM etFJ SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 07/03)
MONETARY
EXPENDITURES
STATE PAC COMTTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D 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 A io-RESS TO WHOW PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
ID# o Qh (YZ,~\e~ - Secretc~.ry of II-u-I_
0Jr'cc{

Oociye, $
D5 ODi F}
ID# order
CS aaolK C.hec~ C-h~-rje.
AL.` ~a 130
CK# _ ~~sal
D cd QS
;~ S ~ r4 P,
ID# ~e cYI QX S ~-oru~ L. I--c~1 ~~ erS

o?Q50 5 tvi /au~ SLI . L,Ive o J~'S

I CK#
~IIp~vS IOv~ F-1-_ dad e, ~H 5°S~1 ~o~,L.IS
ID# Car~, put ~ n Co---ds
1~3~ t=4ai C~r~ l A-e. _

s 1t S
CK#
.3
1W DeS lT1D~~eS, T-a4 So31lo S~oJ w
ID#

# LL a
Co 0~c~cl~ , Co m t,UEbS% Qe~~Sfra-t - ~ a~

ID#
.i n ~~ a~~ C i_ Ee
CK# A- -f-~ t 3~ Nvr (YI0
S E Qdd s~sor 3 -0 7
ID# ,

CK# -7q
~Iq ds to 5 ,
ID# I Crec4-Lx S,j/) Eraf,h~~s
a;2 ALA PO .
CK#

`' SUB-TOTAL $
TOTAL (!f last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to personslentities 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 personlenfty on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A .402(3)o .)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM IR Folm SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
MONETARY
EXPENDITURES
STATE PAC COMAKTTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 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)

e(- e(Sbn 5eGre ~ OF vi ~-u.-r e-

CANDIDATE NAME ANDf ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CI-IECK
NUMBER
ID#
5 BCl .r1 IL eGIGt'n ~ rcac,~ rrt+

R l. os
ID# (`
nd e T-'l S6 ;,1 s
L oc c(

to q 5 IvDS F4 . Doct c So So f o?QD . ~d

ID# es bank ~(

CK# i'50 )
(DI3t(oS a F-{- . pod e, -ZA Sot ~,,(5
ID# q
S~ . Chec.IG i p~C cou.
N ~-~^ ~R~ ~J
I1 3GIoS
cK#
Fl . De- e,
~bSal mQ~n Ana Le e~
of L ~~
I D# ~'~.. pock e Ctnarhbe-v~

CK# b~ ~FIF ~-~

Z (o~b5 ~°Qod As Bbl jS -7b
ID#
eSBanJK
w (Yk t ` n (- e i-ia ') c e Fe c
2.~ 0~ a ~( e i1 5~~~~ 1
ID#

CK#

ID#

CK#

SUB-TOTAL $

TOTAL (iflast page of this schedule) $ .3

i i

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions.)

Expenditures to personslentities 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 expendittiue made by the persoNentity on behalf of the candidate's committee. (Refer to
LSchedule G instructions and Iowa Code ti8A .402(3)().) --

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
R.Cwt Farm
COMMITTEE NAME(Must be same as on Statement of Organization) F LOANS

n1 ~'ri cu l & rc
(Rev . 07/03) RECEIVED
& REPAID
p ~ ei(sv0 ~_v- S ec re ~a rj of
NOTE: This schedule reports money loaned to the committee which is deposited in the committee account. CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART 11- MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a thirdparty is (Loans forgiven must be reported on Schedule E- In-kind Contributions.)
involved . Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DDIYR) (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
MM/DDIYR If livable" If livable

TOTAL (PART1) $ )obb TOTAL CASH REPAYMENTS (PART/1)

From Schedule E - TOTAL LOANS FORGIVEN $

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ SCR 3 B

`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). If surname of contributor is
the same as candidate, but there is no familial relationship, enter "not applicable" in the
relationship column when it applies. Pagof I
(for Schedule F)
 Notice of Dissolution FORM (Rev . 07103)
DR-3
1 F«m NOTICE OF
DISSOLUTION
Mail to:

I
IECDB
510 East 12~h, Suite 1 A For Office Use Only
Des Moines, Iowa 50319
Comm . #
IA ETHICS&CAMPAIGN Indexed
DISCLOSURE BOARD Audited
Computer
JAN 1 0 2006 Certified Date of Dissolution

FILED
"-" 1EE NAME

- 66'S6n Sec re ~a ,r b~ ~~-

Official Name

vn 3S ~
Street

4c-v-C UC'V-
City, State, Zip Code

(s6-) 3SLq-53 ;,-~ t-o

Area Telephone
Code

WHEN TO FILE:
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following :

1. All debts, loans and obligations have been paid or transferred ;

2. All campaign funds have been spent;
3. All campaign property sold or transferred (candidates only); and
4. A final report disclosing all transactions closing the committee .

For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as soon as
possible if the bank statement is not available at the time the Notice of Dissolution is filed .

Signature of Candidate or Treasurer (if candidate's committee)/Signature of Chair or Treasurer (if PAC)

Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM

The form is not applicable to statutory political committees .