Beruflich Dokumente
Kultur Dokumente
r
7Y&L
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
Routine Penalties Due For Late Filed Reports Range from $20 to $800
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) , . ., . ., . . eq f- o 0
Schedule F : Loans Received total (Attach Schedule F) . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . ., . . . . . . ., . ., . . . . ., . . . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . .. .. S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and Icons below) . . . Z figr
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) . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ Z . b Co l
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITI:AL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LISTOF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.S2A(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 10 NUMBER NAME ANI] ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND.
(MMfDDrYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 07re //l~l~fa e~c7fG(~lw r yD.
lo1L CAl . , . .4 A7 e_ r
/-L5 6< CK# y <K~ L .SD .AlJ
~065~.3 R / ,,
ID#
~~kPf lYL~Se ~NrE<h~S, /~c
CK# moo . Box 9'35.F
l -ZS-o .'
i TPA lSyLS- 035 .,".
lo# k~4~K~ °TAnCS~isSicu~ SE~C~.ac~,/Nc
CK# '7Z I Coo%' Sf:
l - ZS°~~ IBZL t ., , S-4 .Slid 1.5. DD
10# ,_f 6,4,V V ,.y . A~.DF4 S9W
a3l~ "~~od~~w 3Lvv .
CK# l, ,1,0 .00
-ZS,d 5?zZ S to w to ,5! I0", - 3,FI d
ID1t /4 h46 ,9,et L~rT~r1r,<_
-ZS-O3 CK# '°& .rte /oo . Op
7f8s vclxciv ,t~,.<r-ir .S 07 157-
10# T'fiM~!lifj THOlin"1t
I-L5o1, CK# 15 91 s1+,M .1,r /0 . cv
ID#
a49 4.*_r : 4,f41<_ ,~
CK# 2314 FAoo,1Ti9< . RC)
.D gA ,z-
ID#
I -jJ-a .5r CK# 3zI.~ S . CL //v~~
~ 3 Sro e T t,4_s fo 2-5.00
IDst v1C6Ex7°Ja A
CK# G® AV,'ec PAS t_/u
I - 3!`0.- 137.3 lG10 .OD
Sf0tlm c/ ~/4 )10
10# sL v,5'A 23. FEj_7-5_
,~ 2-0 1 H 4-NAl6®4,4/ 5 77
1-31-d jr- C K9 gv 7,3 5"00
0
SUB-TOTAL
TOTAL (if last page of this schedule)
Disclosure taw rcqu,res Candidate committees to disclose the rel:I,uonship of any relative maktrg e contrIbution to the
committee. Retatlonshio must be shown to the third degree of consanguinity (blood
mamaae) (See Page 2 of forms packet.). If surname of contributor is the same asrelatives) and affinity (r I Ivea by
candidate, but there Is no Page of 21
familial relationship, enter - not applicable' in the relationship column . (for Schedule A)
1]2I'28/2r005 15 :45 7122745412 1AITCC PAGE 04/05
Q MONETARY
CONTRIBUTIONS --MONEY TAKEN IN (Rev . 06/97) RECEIPTS
llncluding (-+ndldsle's personal runds)
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 688.32A(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 FUNc .
(MM/0D/YR) AND FAG CHECK (If applicable) RAISER
NUMBER INCOME
ID# B"4K oNe~A S4zt~It? Jlt;bBoT-q
CK#
a-1- N141 y 75 106-00
l90(
0 0 . rr -..4 Srla 6 - 2 933
Tl> , ANc A'. #1410<64;_41 -
10#
_1
1
Ads
5~- CK# ~o .vo
1_31-0 93/~ DE /~' - -z3
ID# 6A$'A7 - W6 :5 r'
S1014-
1 D#
i ID#
~h-EAC_ o4 1_ "FL~Soh~
tT
25117 K- . .I-
ss
CK# IrL l.S . od
l~3y 1
)o
109
GK
E x o
A -3
SUB-TOTAL
25 00
TOTAL (if last page of this schedule)
' 019closure la- requires csndldsie committees to dlsaose the retailonsnip or bny relalive making a contribution to the
committes. Relationship must be shown to ihr, third degree of consengulnity (blood relatives) and aHinlty (relatives by
marriage) (See page 2 of forms packet,). If surname of contributor is the same as :andiciate . bul there is no Pace
familial relationship . enter'not applicable' in the relationship cclumn . (for Schedule A)
02/28/2 .305 15 :45 7122745412 WITCO PAGE 05/05
iL , _f0,< w / rc C,
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/001YR) AND PAC
CHECK
NUMBER
ID# j ttL9NF_ S7n/ac FNdEr~~ , ~~ hrvp
4657 4Awfl-70AI rfZ-VO.
1-20-off CK# STA~x PS $ 96-57
.S"o IAX c l ry, Z4 5) "O9
ID# - e.
Ll's~ `~6M1
_T0wrt .52- df .,Tit-TE
LIIC~F.! 6GA5r F1~31'~~-(
-(~~
~ ~OT~
1-31-40-'!r__ CK# TrtE zoa -f 6EAJZXA-C- >2-3 - l f
Des Kca~w' ,~ ,~0,3 q r L~ct~or~I
1D# SF1yQiT
~°° f 0. ~ S7X~ET ~~ivX FEE 2_,00
1-3I-0 :~' CK#
,j I Q Lt 1t' P/ ~~ ~ .s f 1G7 f
ID# Ja t,E'N S 7a f^C
Il 55 7 HA0r i4 70A-) MOO. r d' ST
. ~f
z - lf-o CK#
51,9CAY clTy, r,¢ _Q101
ID# .S&-
rOWA or s T,f-7E v v rF4e- 4fs rs f,eo^
1-4CA5 ~~ F7¢ST Fat»,
Z-fl-of CK# - r-M6 zov .f SCN° ."e_ !?o y
DfS rstoiN~So ~ job l9
EKE 77 -,mV_S
iD# me
-.--A s~,o1-~, Posr -o 9sr z, a/ 7. /0
7 .rg-Vf cK#
CK#
SUB-TOTAL $
TOTAL (if last page of this schaduls) $?
Expenditures to personslentibes providing consulting, advenising, fund-raising, pclllnq, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each lype of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G Instructions and Iowa Code 5t3.8(3)(i) .)
Page t of ___L
(rorSchedule ®)
02/ 2) 8 /'2-005 15 :45 7122746412 Lk)17CC PAGE 05/05
pt,~p~' Aj ~1 35.9
.
: ...Z~¢ Il a
SUB-TOTAL S
`If actual (pure is unknown. show 'estlmated' besiode the figurkt, Page -/ of
(for Schedule D