Sie sind auf Seite 1von 10

FOR INSTRUCTIONS, SEE BACK OF FORM

I
Reset Form FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 1212005) REPORT
For Office Use Only
Comm . #
IMPORTANT: Indicate by #,tsrpe of committee you are reporting for = Logged I
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
( 4 )County Central Committee ( 5 )County Candidate ( 8 )City Candidate ( 7 )School Board or Other Political Scanned
Subdivision Candidate (8 )County PAC (8 )City PAC (10 )School Board or Other Political Subdivision PAC Computer
( 11 ) Local Ballot Issue
Audited

Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section (388.3_
and the chairpers~gn, for any other type of k nittee, is the individual responsjble for filieg timely and accurate reports.

REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .


Indicate by # 91
OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

0 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 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.) .. ............ ... .... ... . ... . ... ..... ... . .y
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ....... ... .... ... ..
Schedule F: Loans Received total (Attach Schedule F) . ... .... .... . ... .... ....... ........ ........ ... ........ .... ... ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . ........ ... .... .... ........ ... ........ ....
(Schedule H ataol(es to Candidates' Committees Orrhr)
SUB-TOTAL ............._
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 (iffinal report balance must
be zero) (Attach DR-3). ........ ........... ................... .... .... ... . ....... . ... .... .. . .. . ...... ........... .... ....... ........ .... . .5

"UNPAID BILLS (From Schedule D - Attach Schedule D).... ... ..... ... .... ........ ....... . ... .... . ... .... .... ... ........ .... .....5
i
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .... ... .... .... .... ... . .... ... . ... .... . ... .... ... .., . .3
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) ... ... . .. ..... ... ........ ... . .... ... . ........ ... ....... .... . y _
CONSULTANT BREAKDOWN (Schedule G Attached?) -YES -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 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 §* on Statement of Organization) AMENDING FORM

<_iZ9v&Hje_
I -kw a~&&
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
I D#
/ "KE t~ .'iN' 1~ F. 1 Cn~

5
ID# D w L~-L. dL G~IrW~ 6r , L
~. ~ Nlch4t
v~
Y~'31k! 16 s Z-

I D# ~...

Y) CK# . . .$'~ 3
1 3l07 f~ rlritil
ID#
~Cnia
3/C3~
a~ 07 UQtfn~C_ : L ,~ it ~N C, i rd
r J , ,5_t)1
ID#
C14 K 16 ;,j -kk"b ia-, 2
I/
l3 f~,~ CK# 5,3 ;~ , _ .r 10 . _
37 4 _- , 1 . 5 ~~~3
y ID#
I 1 p,;
CK#
Y
1 .j 5 ._

wW )-
ID#
~6~
,S~t E- VE ~/
tiv
~ d ~Qo
~ ~l~
~1a7 ' CK# ~~~
DY

16 28 Y1~~ x~-crwir,/
x~-crwi

CK# I' ;-q7,~~~E


- [.n/.
~l~yk
s1 °i
ID# ~

7li8k~ CK# . ;+~

ID# (°d I j -~/} ~~id~ lGr C


/
A CK# . 6y !
SI q i~s sfrv :~cl-wA- S~ 3 -
SUB-TOTAL

TOTAL (iflast 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 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
Rcszl F_otm

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev- 07/03) RECEIPTS
(Indudrng candidate's personal funds)
Q CHECK THIS BOX IF
AMENDING FORM

STATE CANL1fDATES 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#
01;2
~16 (0 CK#
~5ab $
ID# S I,e V'S ,j
; 1< _f,r
"A
CK# I b 51 A1W t '2, E ,5r -
'~3 I CI{, q'i5w,+ ':R -Ybs .

1 ZZ~~
ID# pa~+tTd ; (l'
I~ F,n'
CK#
L
Ip"I E 0~~,
1s SIfss~
ID#

EEI
~>la .'ar,~~ '5 11 Z vr,- rv
CK# +Ac
Ar1jYl+A c7y-_
a f )~7
ID# u.) it. AAw3 ~A)

CK# ~C;~S~ Ah'.tyM9vL


7219
ID# ~ hKS '' IVE J
0 1 2.z CK# aZ3 IIILanny
~~ El
i" " t %ativ 4 SI5
-
ID# ...iZwA (rVclI~+Tits"'C' c ~'nL E l
CK# o as 3 >\ s- Sri ,4.
Rj
o . .:.s . ) X30

&oO _L 0% 1 _'j L_
gl~ln~ CK# .- 5s~ Wev z~~, ~*~. I~ t
Luti - rV A, -- -rj 1-3
ID# IVEILSF,Aj
~k4l&' 4,
I'ib ®/o CK# yP 3 cr0
450 tJF."-C1-4
ID# +0'5 5~ LIUM MthkMSrs
PE Tao E C' 14AJ~
Iol~j-U 5ny~,sa+ ,4-
CK#
3 w l7: l
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 consanguinity (bk)od 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 SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
I~ CHECK THIS BOX IF
AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECki]VED 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-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

CK#
a 14 3 ~.a t 5~ _STS z.~z. $ ~60`n'
ID#
~Gd W.MrcI f CiF I~14'/J _
CK#
a
I D# W-M LkAI U,4 ~'W(,
i t ~'t rw~r
'W UIl1~T
CK# _ ~. Ire o
1
' , 11 4 ST,
ID#
VHL Z
cju
CK# X3~ llb~i (4)L~- -aT
15 V44 -fi&w C
Syjvc, P
ID#
'
~ o~ll CK#
50336
b.fr S v
4V113 c. of NuIrs f- 0
ID# J:~,Wik
' ( a--
CK# l~n s~sls
183 s S'r- foil -~ . ~~ I
CK# 6 6r1 I%a-L da ~~ar~ffS / (~ -V
9 -3g wi ~AiT
II?# ~~
il -- ~,~,,~ Ch -1 rc~~ rA-c: c l~A-C
q,# ! v -
16(95 AM~ NKcky r1VCj . _
g q6
ID#
401-
CK# ,

ID#
twin-{.. t i 'F.nf I S 77S r~ wa ~
0
CK# C-A
3 10- ~, 1- Pa (a I

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 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 .
For Instructions, See Back of Form SCHEDULE
Reset F'orni

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
(COMMITTEE NAME (Must be same as on aleme anizafon) 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 ,I IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER , INCOME

CS~'Il~ QCI'La
a
IL~A
~lZb .
x ,
$ CJI;1

o CK# , 3'7
.
/ b i!
(4 4 17-)
J'z
I D#
Ne-A 04
CK#
%1
-70 ~V'3Ext< lin
ID# 'rcytnrl9 P~S)GiiilJ ~iT ~~
CK#
,- _ I
I D#

Z Y/
rcc V ) ~

a
Y~S

191© CK#

D#
3q~ G rY ~C "rn ~u
_ ~0322-

CK# T~ylvtt; -zed


I '
! ID#

f 2 ZSt CK# ~A /u (C

I D#

C K#

I D#

CK#

1D#

CK#

I D#

CK#

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 consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of
4
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
r--OH INS 1 RUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 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 Organizati

CANDIDATE
_96V tfl W&--tc fNAME 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
I ID# wNJ~ iQP146 J7V,,(j \jfWfJj .'i~ Q~

Y /(S CK#
I D# - C C:LC Pvwni ~
l~qk, CKI (3 33 V ~V~ ~ ~l?IY~~ ~S Y

ID# _

/034
ID#

1 \9 3 .)

lC1 b CK# 7~) u4d~1ueT ~rwA, rvtvCI14nS


ID# S
V Vf (Ij CCL~ ~n uxl£- 39
l0 CK -I
ID#
V C,ir( wi ff~ r
h fit Cat AWE,
~lZ~~o C

SUB-TOTAL $ 35
TOTAL (if 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 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)(1) .) -

Page of

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM 1, R030 F«m ` SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX IF
AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organi lion)

ZE Ym C~o Cc -~ w
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
ID#
I S 1, C ~4s r
37-13
CKJ O
Uj
CVrj
.-6WA
Pal A-~f
$

CK

ID# -
6 v P ke ° IJ(*I,Trv~

0 CK#
IM Mw. Fvlvc~ .
~~u~~ l w~ 000
tQ 1

Ja'~ld l CK#

ID# T~ I A' t . ,aF.tlJi~lfY NC ~/.~'


S
I/n44
p~ r
CK 1fj~ Ufi ~ i (lyL ~,4'ltl r~
r

ID#
gZ K~~~L1~ch ~ ( w~ wliti y~J y
t~-~
i
lU f Iiw
ID#
vE t3w w"rE ('1
.j' cccu Al2lw~_
~l 3`7 , 3

SUB-TOTAL $

TOTAL (fflast page of this schedule) $ '

THIS BOX APPLIES TO CANDIDATES' COMMf1TEES ONLY :

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 persordentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)().) ,

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM 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, UST 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 - tement of Organization)

CANDDDAEE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
- CHECK
NUMBER
/~ ID#
~~ir,~l~~x !1 iNk

lo L17 p

-4, r ¬~
r4k`d V
Y~ ~n1
- l c

CK#
r(~~
F4',oY 36")
q
ID#
Crl~~wd
CK# ' ~n~ -~

IL L7 J U (~~Ni A

cK#

ID#
1 u~k~

-
.rr

CEC- Axuw~
r r3 . t9`~

'eb CK#
OCT/1",
ID# 11IC S'L '~ I!!v
(9l f.
~.y k1.L
AAf AoJT* o , T 33

5 r ~ li ct~J - 1if~TEL Z--wr r


Wam " iw ~
SUB-TOTAL

TOTAL (iflast 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 persordentity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56.6(3)(i).)

Page 3 - of
4L13 014cu~ S
i
F 1161W 01*(- 4-~ ~tl~r

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM 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 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 ment of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER

i/ S~ 0-21

G 100
. CK#
e
ID#

CK#

CK#

ID#

CK#

1D#

CK#

I D#

CK#

ID#

CK#

SUB-TOTAL $ g. a
TOTAL (iflast page of this schedule) $

THIS SOX 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 personsientities 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) .)

Page qL-- of -y

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Stat nt of Org 'on) (Rev . 08/98)1 INDEBTEDNESS

O CHECK THIS BOX


NOTE : ebts preOusly reported that remain unpaid must be included on this IF AMENDING
Schedule, as well as any new obligations incurred in this period . FORM

An "incurred debt" is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

1 5 C©nrsT TLkF.ntc 1~Mrd $


_
?IU ti rh1 lE-E
a~ fig, 60
l~%nr r~ SBZyv
v

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

*If actual figure is unknown, show "estimated" beside the figure. Page ~~ of~
(fdr Schedule d)

CANDIDATE COMMITTEES NOTE :


*Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, f und-raising, polling, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the c onsultant .

Das könnte Ihnen auch gefallen