0*2'24/2005 22 :02 1712263e576 tJORELIUS LI BRARY

AGE 01
Z'
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
-~ of Organization) (Rev . 0112003) REPORT
COMMITTEE NAME Must be same as on S aternte
/ ~(l2cy~ QJ ~2 ch'c For Office Use Only -,~
Comm . #
IMPORTANT: Indicate type of committee you are reporting for:
Indexed ----------------
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )Stste Party (4 )CcuntyJLoasl Candidate Audited ---
( 5 )County PAC ( 6 )Ballot IssuelFranchlse Committee ( T )CountytCay Central Committee
8 )support slate or Candidates Computer _
CANDIDATE COMMITTEES ONLY:
Candidate Name 5 20 09litical arty
2,

Office Sought District (1` Senate or House)

ER (or person flllng this report)

2Q -6O 251-9;9`To
TELEPHONE
a /a
DATE S GNE
q

Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRU CTIONS O THE_ FOLLOWINGSENTENCE :
I AM FILING A REPORT FOR ANIA (ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
HECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

OChcck if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Comn)ittees, nq tar Coun in
(You must continue to file reports until a Notice of Dissolution is filed.) whl~tt Iec6on Is Id

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total of all monies 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) ., . . ..
Schedule F: Loans Received total (Attach Schedule F) . . .. .. . . . . . .. ... . . . . . ... .. .. . . . .. .. . ... . .. .... ... . ..
Schedule H : Total Sales of Campaign Property (Attach Schedule H) ... . . .... .. . . . . . . .. . .. . . .. .. .. ..
(Sched le H applies to Condjdates°Committees Only)
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 (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) . ..  .. . . . . .., . .. ... . . . . . ..... .. . . . ..... .. . . . .. .. . $ -_____, ____
CANDIDATE COMMTTTE S ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) 71YES NO

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

VVIi I Il11WV I IVIiV '° IVIiY" 1 11'WrW II
(nov . uoua) MMUeir i o
(Including candidate's personal funds)

CHECK THIS BOX IF

COMMITTEE NAME (Must be came as an tstement of Organization) AMENDING FORM
s
0PLrRlA~rLV"V
.070

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 d98,32A(G), Iowa Code, prohibits the use of Information Copied from reports send statements for soliciting contrlbutlone or
for any commercial purpose by any person other than statutory political committees,

DATE PAC ,~ NvMBcn NA ,vl .. s' rtic"LA1, \/,iElllr AMOUNT v IF FOR

RECEIVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DO/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME

$
^ cKI~~,~1-

ID#
S7 C
Ca
00
:~ a,-~. rte° sly~~
ID#
'Icy '/,V sz-w
CKN

ID#
(771 tip
/C/OC/ 0-Ij

S
ID#
cU4gCr DI- ML5CoR

ID#

,/Y' l , Vy I14 Z95l'

'57 ID# nr =Al' S-CV7
CK#
l vs"rv '~- '71ta Ah ,Y7"
C;vl)
r~~~ .-v .~- Slyv~r
ID# l ~h,
~~f~i'tr

CK#
:. (0 30 :k :S"u 5'r

ID#
X,
CK#

ID# fps . AlS0w

S7 ~~--
CK#
l <tYQv/V .Z;149 37V y

TOTAL (If host page of this schedule)

Disclosure law requires candidate oommltleos 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
familial relationship, enter "not applicable" In the relationship column . (for Schedule A)
 ;'24/2005
O^ 22 :02 17122638578 HORELIUS LIBRARY
PAGE 03

FOR INSTRUCTIONS, SEE BACK OF FORM 7", 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 Statement of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

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

7716
CK# C73 ( $ goo

a/aa ID#
k4grj
CK#Qp
a
CK# 0 * .3 SJC%~ a 6Z ~'uj =
l f'Ela '
ID#

CK# C)o )d~uL I~o ~. "`~.

y
ID#

kJ~~"~'~Saw c rf;  Qf'~' R

y CK#
pU s
ID# L

CK#

CK#

ID#

CK#

SUB-TOTAL $a Ll 3~ °'
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 personslentitles providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detall 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 of

(for Schedule 8)
02124/2005 22 :02 17122538578 FJOPELIUS LIBRAP`,~ PAGE 04

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

E IN KIND
COMMITTEE NAME (Must bo aarma 08 on Sfaf8Menf o( ~mInNon) I (Rev. OBI97)1 CONTRIBUTIONS

Ccn r4n9,v ACD-Z

[] CHECK THIS BOX IF
r"y.wc x~~airw
AMENDING FORM
4

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRE88 TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
' If applicable) CONTRIBUTION VAN CONT IBUTIO

Ah
MMIDDIYR - OF CONTRIBUTOR

aw k s a
i&_5ro a-;u 's+ 11432.,t. L
ov E]
`. a .
Pte
El
El

F7

SUB-TOTAL r

TOTAL (If lest

papa of this
schedule)

*Disclosure law requires candidates to CIaWoae the rslatlonahlp

degree of sny trlatlve making an In kind contribution to the Page of
committee . Relationship must be eltovurr to the third of consanguinity (blood relatives) and af(Inlty (ratatlvee (for Schedule El
by marriage). (See Papa 2 of forma paakat.) if surname of contributor Is the acme as candidate . but than la no
familial rolatkmahip, entar'nol applicable In the relationship column.