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Ih1hJ (,0 AUDITCP

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


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

L aN n >~ P_) e rg Lt-Y1'1


For Ofncp UaeOnly
Comm . #
IMPORTANT: Indicate by # typr of committee you are reporting for : logged In
( )St©tetvlde!LegiMnllve/Judge Standing for Retention Candidate ( 2 )Stat(,, PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Can~date ( 6 )City Candidate (7 )School Board or Other Political
Subdivision Candidate ( to )County PAC (9 ).C.44 PAC -(,a~,) .~chool Board or Other Political Subdivision PAC Computer
( 1 ? ) Loca! Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
File with :
Candidate Name Party (if applicable)
I tl wren .e tical Iowa Ethics and Campaign
_`f 4 Disclosure Board
J Lh'YYI 4 1,eiol .l .ln l l
Vt/
LYSJL~nX
I ,
C '-la a-.
510 E . 12'", Ste . 1A
te_
Jffce Sought Des Moines, Iowa 50319
Fax : 515-281-3701

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 686 .32A(7)
the candidate, for a candidate's committee, and the chairperson, for any other type of committee, 12 the
Individual responsible for filing timely and accurate reports .

14 .. I

SIG ATURE OF PE DATE SIGNED

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


(report dale) Indicate by #

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Clectior

Check if this i . t1nal (termination) report and attach Notice of Dissolution Form DR-3 . County 3 Local Committees, enter County n
(You must continue to file reports until a DR-3 is filed .) vlhich Cl()ctlon i5 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 ~ro
of the la-at reporting period or must be zero if this Is first report filed .) ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'6

ate D 0
ADD TOTAL MONEY~TAKE IN THIS PERIOD
~l vck C"oh& :or
Schedule A : 6trstr 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ScheOmleH-apolies to Candidates' Comm lgees Onty)
SUB-TOTAL . . . . . . . .. . . . . S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule E Expenditures total (Attach Schedule E) ("also see debts and loans below) . . . . ., . . . . . . aS . 9 0
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)_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g


'IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . ., . . . .  . . ., . . . . . . . . . . . . . . . ., . .  . . .  . ., .  . . .  . . . .$
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . ., . . . ., .  , . , .  . . ., . . . . ., ., . . .  . . ., . . ., . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
C A_ DIDATE COMMITTEES_ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
S TATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
16 :C, ~i'Jr~t36 12 1-563---8T-4~~83 L-JIPJt-.I r0 HIJDITOR Pi:,caE ~~a''03

For Instructions, See Back of Form SCHEDULE


A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) RECEIPTS
(Including candidate's personal fund,-)
CHECK THIS POX IF
COMMITTEE NAME (Must be same as on Statement or organization) AMENDING FORM

1 e;,-~ uM -~O r RC Cor ~ Cr


-6 ',
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE Par CHECK NUMBER IN THE DESIGNATED COLUMN, A LIST OF tD NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGrJ
DISCLOSURE BOARD

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN 5750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.

CAUTION: Section 1388 .32A(6),prohibits the use of information copied from reports and statement 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 ti IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID4
F p`t

a D1l © vt e
t; o CK#

I D#

C K#

ID#

CK#

I D#

CK#

C K#

I D#

C K#

I D#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

Disuonure l9v. requires candidate commlllees to di^Gore the relationship of any relelive mgk.lnp a contribution to the
committee . Relatlon ;hip must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marringe) . 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)
i :oIfIfJ I ; D HUDITOR P~~:aE ~
F3h : .~° ;'?I~lhS 1 . :1? 1-5h ;- ;8 -4753

FOR WS TRUCTIONS, SEE BA CP Oil~ FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT


B MONETARY
(Rev. 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOI2 CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST 714E 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 AVAILABLEFROM THE IOWA AMENDING FORM
ETHICS 0, 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 (If applicable) (Disbursomen() WAS MADE
(h1M/DD/YR) AND PAC
CHECK
NUMBER

Junes ID#
w~ h KQCN~ekcca,-, ,~
.
o l~se~yt ~'ogreC- s
ID#

CK#

ID#

CK#

I ID*

CK#

CK#

CK#

ID#

C K#

ID#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ ~r- 0 0

THIS BOX APPLIES TO CANDIDATES' COMMMEE3 ONLY .


Purchases of certain campaign property co--flog ;500 or more must nlgo be Inventoried on Schedule H . (Refer to Schedule H Instructions .)

Expenditures to personslontities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail Itemize on
Schedule G by the amount, purpose, and dale of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer 1i to
Sche dule G Instrur-tion n and low-,4 Code 08A ,402(3)(I) .) -_

Page of

(for Schedule 6)
llirltJ CO AUDITOR

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


0E MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COI,UhAN AND THE O CHECK THIS BOX. IF
PAC CI IECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLEFROM THE IOWA AMENDING FORM
ETHIC,S& CM.1PAIGN 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 (d applicable) (Disburremont) WAS MADE
(MMIDDIYR) AND PAC
CHECK
~L~ CXPENStS PAto O GANDIDATE
NUMBER
ID#

ao o cK# 1~ S P-`~ P0-4 Ca-r^JS $ ,79,0,00

d4p r I' I ID
pas+c~-Y~'~s 540-00

ao0 6 cK# l,~ S ~S


~ e-~-~~ruJ~'n^~<S S I9 1'1 S ~D j " 93
A Pr ; I I D# Spring 16 r o ve 4eYQ ~'o 'r rn -I
ld i4-~1 S , ZQ

A00 CK# I co S ~~ o r PeT ,mot J 5 . ,- 01 a1 00


ID# Cal m6-r Cc~ r ~r A~~ ryl6 -oo
7

~,co6 I cK# ~ ~~ ~3ee

Apr i'( ID# U


IBS ~o Sf"' C a-rC~ S .Jo~C~ - C C

A00b CK# DeCorav1t ~~-OS ~a+ fits Ad-,- 't, ~Y i I 97, Sd

ID# ~, rn- we, r kr 1.U'ires -for E i9 v) .s


hfr 1'( c~ 7 211~1
ape L CK# (~r 00 6 P0 -f- C4- .ds ~, ( .oD
~S
iD#
Kvrs u i~adco Spo-~s 90,00

a 00 C K# O v1L°t STDiYr1D l.o _ --~nNllvS / 1' y0

ID# KD EC
f~aee~~~o S',~~-~s /3S on
o"(0 0 ~o CK# D Ego Ya.~1 AV Q,Lt~S P ~rr1' /L y. S0
A-ii S

SUB-TOTAL $

TOTAL (if lest page of this schedule) $ i 0~ 1 t

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

Expenditures to person,/entities providing consulting, advertising, fund-raising, polling, managing . organizing services must of-so be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlontity on behalf of the candidate's committee (Refe " to
Schedule G instructions and Iowa Code 6BAA02(3)(i) .)

Page of

(for Schedule R)

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