FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 UIS(;I .OSURE

COMMITTEE NAME (Must be same a.a nn Statement of Organizarierl) (Rev 12i2005j' REPORT

For Ortlcs use Only

Comm #
IMPORTANT . Indicate by # type of cornrnlttee you re repYtmg for Logged In
r 1 )31atewlde/Legisiaiive(Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scanned _
1 4 )County Centrst Committee ( 5 )County Candidate ( 6 )CjI/ Ganoldaile ( 7 )S&oel Board or Other Pogtlcal
SUbdivis,on Candidate. ( e )County PAC (3 )City PAC ( 10 )School Board or Other Political Suhdivislon PAC Computer lIJ
( 11 ) Lxal Aallot Iss~)c

CANDIDATE COMMITTEES ONLY .

Candidate Name Political Party (if applicable)

,H
~-£~'- ~1r~7do th St7 s~w..a c,v
Office Sought District (If Senate o 8 2006
g2-
possible civil and criminal penalties Pursuant to Iowa Code section 6813 328(7) the candidate, for a candidate's committee
ny other type of committee. i s the individual responsible for flllng tlmoly and accurate reports

(Sb3) 332--- #-s- 3z- 09- o~0

ATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .

(report dwe) Indicate by 0

Local Committees, enter Date of Electron

OCHECK IF AMENDMENT TO REPORT DATED

0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
County R Lorai Commltlecs rntcr County in
(You must continue to file reports until a DR-3 is filed ) wY11ch 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 bd zero if this is first report filed.) . . . ..

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A Cash Contributions total (Attach Schedule A) ('also sea (n-kind below) . .
Schedule F: Loans Received total (Attach Schedule F)

Schedule H Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . -

e-(Schedule H applies to Candidates' Committees Only)

SUB-TOTAL . . . . . . . . . . . . .$

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B. Expenditures tota, (Attach Schedule B) ("also see debts and loans below) . . ..

Schedule F. Loan Repayments total (Attach Schedule F) .

-.0-
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) . . . .S 5 . 39-Lt . 41

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 SACK OF FORM

I
rSCHEDULE

COMMITTEE NAME(Musf be same as on Slalomed of awzatibr) F LOANS

(Rev . 071(3) RECEIVED
$ REPAID

NOTE : This sct&duFe reports money loaned to the committee tiOich is deposited in the committee acoatni. 71 CHECK THIS BOX IF
`2 =11
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ 5

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 it a thirdparty is (Lwns forgrvon must be sported on Schedule E - Pi-kr'nd Corl1rrbub'on f
involved. lnctude loans from candidate's per xNrra1lunds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name . It Applicable) TO CANDIDATE Of LOAN (MAVDDiYRI (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
(MMiDDfYR If A livable' (It A Applicable)

TOTAL (PART1) $ TOTALCASH REPAYMENTS (PARTfill $ -G),

-v
From Schedule E - TOTAL LOANS FORGIVEN $

TOTAL OUTSTANDING LOANS ENO OF REPORT PERIOD $ ~

'Disclosure lmv requires candidate committees to disclose IAe relationship of any relative
making a contribution to the committee Relationship must tw sh&Nn to the third degree of
consanguinity (b'uod relatives) and affinity (relab-~es by marriage). If surname of oorilributor i~
the sarne as candidate, but there is no familial relationship, enter' not applicable' m the
relaUonship column when it applies Page I of
(tar Schedule F)