Beruflich Dokumente
Kultur Dokumente
/ /7 ,3--
OF TREASURER (or person filing this report) DA SIG ED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
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 Notice of Dissolution is filed.) which Election is held
STATEMENT OF CASH ON 2
CASH ON HAND at the beginning of the reporting period . (This is the total H%ff2 2002
of all monies held by the committee. This amount MUST be the
same as the cash on hand at the end of the ast reporting period, . 5 U
or must be zero if this is first report filed.) . . ...i6lt/42 .7a4 .'-Q........ .. .. .. ... .. .. .....
......... . lr]Q
CASH ON HAND at the end of this reporting period (if final report, balance must ~
..I 39
be zero) (Attach DR-3). ......... ... .. .. .. .. .. ... .. .... .. ........ ... . ....... .... .. ~1. .d .. .. ....~ .. 1;('
.. .. .. ..... .. ... .. ... .. $
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 COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) "YES NO c
G0©6 s -~-,r -
~65jh4 , ' -1
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ((~ i~ ~~Y
.~ Z I'f1 l 59 2 6Wvee $ d~
( cK#
X795 r,Jpwl
*3
1/~ X266
ID# SOFT ~2, ,IC. O
I -t~'
ID#
CK#~~
1D#
6061 1 PAC-
1 /0 1 CK#
ID#
.
10#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM1DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 1~6 #b ~v5 t~Lrr rc,e / L
y
CK# ZIP
fir" iavr, $
160
6F- .5 wE S . IA
ID# Vlt PALVr+ fZ,
~JZ~ID CK# rLVAki .50
X1 3
ID# g
~IcAc,5 t- 5-~ °"
.--
Io~Z~ ~ ~ CK# (_T4:
ID# !) S PAe-
I CK# ~JD
l
ID#
oo`t
=-_~
I DW A. at"T4lt- PAe
s--
n
~, ssb
sr
l6D
00
.~
(~~ ~,lb l CK# Zf
C l~' So 3Z S'
ps
GZwt .
t d (D t~ o /:;~Z $ +A+t
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NU MBER 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 q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
Glt~~o r
[ID*
lv, t1~Am 0- vns.PP
$ ,r6b °-
CM 5~0 wr~s~W~ pK
ID# (
AeaK Pct 60
CK#
Ds~I/l- sd31Z
. 04e
r-
Jbwd IK-r9L Ta')
9y9 CitK2inv DPIVE
6/20 1) , O .5r~ . ,A .fo3nf .
~9~ c~xs
I
& fu )C, I CK#
/60o cuxt rl'T 0/L-2- ,s6 °_
D5;n . IQ
ID# f W- C r% ;-
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 686.32A(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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
~o t(.
INCOME
l2(v Jb
ID# -
b6 g~ - 6~to lsr~ kr /b ,3)( GS'7
CK#
Q5M 5z>go3
$(
ID# ~
/OwQ L,FF l,v r4 nCE , - ~--
s/oo us'-s.e .,
PX a~~
waM . l a
,~ 126'o I CK#
r 01
ID#
CK#
ID#
(005to
i
~e94kees
9/9 0 -- A1,c
'05m .
&, 8
A
vh, 7'~
so3 e)
SUB-TOTAL $
ID ~
TOTAL rf 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 Schedule A)
uv, :wrw.i
A MONETARY
CONTRIBUTIONS - MONEY TAKEN uv (Rev. 06/97) 1 RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same S~ on tatemen Organization)
AMENDING FORM
Cih01) D )Q , -~
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
RECEIVED
PAC ID NUMBER
(if applicable)
NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP
TO CANDIDATE'
I- AMOUNT
RECEIVED
d IF FOR
FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~Jvt .-r E &~IA_S
ro/z CK# v.rx Ac $
5-0
0 b+h- i A- .ro3z 1
ID# (pefcrrt
so'
(o)2s
I
S - / Os- Sw i6~2. 5"f
CK#
5m So3fS
ID# ews' lo s ~a ,
s®
St<
A MONETARY
CONTRIBUTIONS - MONEY TAKEN .. . (Rev . 06197) I RECEIPTS
(Including candidate's personal funds)
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 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#
~ 3S 1 /- C-lJ201_&"'P1
M A,I(ETtf~rz S
$ /too
1o/ 1303 S-" 5t
CK#
Wl)M 14 . So26G
ID#
f
X6125 J CK#
B
.x6,, 3~7
A,1,o,1A . /Asbco~
.
loo
ID# I DwAI P4" 01,1 C 'r PA If
~ hJ l 7
/ 11 2 OF"" E
/b ( CK#
Le) !A .So2L S~
ID#
i UwAs N~
ID*
(d l 25 l© cK#
05,i . tA se3"o q
ID# I`-r /lY
lv~Zsla I 44819~~ toes lo",), x "-y /bo
cK#
IV . Ilk- Sv "Ll;J S
ID# ~ wcS .JAS
CK# 2 l
w10M . i14 -1'026P .
ID# a-L .i E Svni r I{ l
Detue ~b(
I ~~2~leP cK# 3`)r7
.So3lr7
SUB-TOTAL
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 (f applicable) RAISER
NUMBER INCOME
/LkL,~Sc Q~.
Z7ov 5 ' r
~~s o>=c . r rf~y t~~s 1 z Gvv-~ o
rEc lo *'0-bao33ya3
f
15 S Z''' ~ I4/ 66
hraw'iL) q
ID#
~ aI25 w ~ CK#
3 7~- ~_6 o'
-
s otwES-. IA-
T PA 6
rblZS~b r
7 St e-366v
~
0en,.ep2 ._ eo . , ~o2 D -7 - 3 3L~-
i3"K,&s Uvt . e
`ll~ 6 , Ave
/)Srh, lA
ID# 455 t/4-L-I,r
lo~?S lol CK# /W1 5-
0gw1- li4 :~o37.S
tcl~/Srh1C~ Ply
to '1 5 D I CK# 13 sv ~1~-~~~k' A~c
I C i'~AS y L
ID#
VALV
/&1 0) I CK# z53o ?3'~b
Ir>0 > ?3?u~ 5o 3_22
ID#
CK# asD~
C'~~ r7~ tr- , 1< S
ID#
9-15-6' 2)
TOTAL (if last page of this
schedule) $
' Disclosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
.ommittee. 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 tie same as candidate, but there is no Page A_ of
amilial relationship, enter "not applicable" in th relationship column . (for Schedule A)
A MONETARY
CONTRIBUTIONS - MONEY TAKEN I. (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q 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 . .11,
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-
(MWDD/YR) AND PAC CHECK (f applicable) RAISER
NUMBER INCOME
cK#
C
F'U -63X . -75- 7 j66
IJSfVI, t
ID#
1J D I/vl r f ~) S~2~ ~
w
3 v'3
ID# 7 MA,(TC~ /-96,l1-Does
2 I01 cK#
O
' ~~ I DANK t-
as Mo, .,tc-s . tA 5o 3o 3
/ ID# 60c;
(~ ~ 6 yYl~na,r%tIc~~ ~) l vsr~~ AW i~
~fO 12~.~ 0 1 CK# -- . / *b
n D64,7 AVE ~D
C 'J J I'Yl _ l 6'
ID#
(OC)I~ I Z
jab l a CK# , ! 11 S4 -
1
~2rha:~~ , 1 Sv l t Z-
ID# ~A~ .
CK# ~8 &aSly
Lv 0 _ )A- SDz-~~
SUB-TOTAL $
e/,~oe9o 4w
- j&
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IOWA ~&,VVA 10
1 A e- o
:"~ 2- & $
CK#
k
I
s 3a5a
jqew P,4 ~
ID#
~PIZinc'f~wl.
r SI
CK# 7n o f6I~ _
360
Des 4 6 5 111 50501
,, ID#
r t - /pivA AA .r
1~ 7/61 , CK# -- ,7 67 ?,? st Jao
D#
G~G+ Qr m , 6 AocA« ~t tHnx .,. ( ;..
CK#~ 666 l. 4 .1j) AVE
.7
n ~` .
ID# IN4era4 t~"> II " S
3 f`= At-
1/7 CK# 9, 2
317 .; ` ' S+ -7 , c
1 v cK#
(661 6541 . A -5,0 - C"j,
JD# A , .7, ;+ ..r bA%/
wfT l .r~ C .gele
0 K#
03 Ls
DES lA SD Z_
-
D# JNr-y Jt~Cc ~~i rl c- .i
lcz -i
1 1 -7/o)- K* 50
D# PIArU,0, Sce+~
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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
e&C-111 S P-As 6'
$
)CK# Ab o
7 "
1
r+ Y- 14
ID# ?~ fCw.Q SOFT Ilk'Ir~tC I~'~Ct
CK# h' G,-,mt .n .5. 3t t: ~7
Zo 7 Is , ,, - Ii J03011
wcLLs ~~u o boo
~ ~,~5 Des cK#
6A-4ie 14 zoZES
1D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
l D#
CK#
1D#
CK#
720.
' 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 140 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
~-
CANDIDATE NAME AN ADDRESS T4 WHOM PURPOSE AMOUNT
DATE ID NUMBER (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# G ~
DdnAT , o , J
d 1t3 CK# S- $ 0d5 00
ID#
s Pql k1-F p~ s
1 CK#
IN
SP~~t P6 S
cK#
i03 l
IN
CK# p b 0 5ifl J
1 Z
IN IOWA tA(cs CA+N~~Ihn n~~ . s~ T n~ S
,~f lbl~l
S IL e La<,5-f- bU~'R 10 Cf
cK#w
3 DSM, J AL 50301 `l 19 .` ~
cc T
IN yIa'4T" IUd S /11
.521 b ~ , /079
CK#
IN ; kn iiyJ'
sl 2_ql6~ 001 E 6-w'-t. ~ET d -71 ~ -S'(°
CK#
~DD 6,S wt_ lA .5-31
ID#
J4Y VIA aaocer_~~ 5-~fc
S-rAm fs
~~ l 1 CK# Il
160(a
r, r; a -7 SUB-TOTAL
$0314 . L4 1
TOTAL (if last page ofthis schedule) $
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 instructio ns and Iowa Code 56.6(3)(i).)
1-UH INS1 HUGI1UNS,SEE BAUK OF i _ . IM SCHEDULE
s
COMMITTEE NAME (Must be same as on Statement of Organi do
1 / CK#
lad o,
6h3)Q 1
ID#
CK#
~vSE ~r'vr21An
DID el 3d0
°r
ebb f
ID# .
5PRirIT lgeS
3( 11i CK# 477 / y sl
I D# ~pc P I't ,6 /,('q `4n ~
712-go
I' . CK# fwx11.~^r~ 1""> rJa r7~- f7o n f Gd
S~ 3 Des iM.o, s .r -
ID#
Iz-7o1
I CK#
ID# /~,An P5hv
ar~l
DD rl~ ir SD® -
Ib I CK#
.33
-l
ID#
'~o~S~ I2V+'Yl~'"1 ~~ ! pc7
J130/61 D00A7 ~~ Sd
CK# (6o -7
ID#
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, advendsing, 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 Io wa Code 56 .6(3)(i) .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
e;
(3AIA, s PST 0
ot CK# C60
K
ID# .~~ ~
llg7 .s
l .~ LzEv,_ N-14 ,,Jq 114* ,vr{ 1 (, 1) l
dv _ C &r2
CK#
p3`J I-)or a~~~~ .
~e
L~ ~tyS ~ .Sl6~t S f
k
ID# Sf' ,wT Po s
CK#
ID# s pt l n T ~e S n
CK# 11
ID#
~j ~,IlI, S 9"K 4*~- J e
~ v
CK# (j,/ LN
~hq & V+
SUB-TOTAL $
36 q6- .3_ 7
TOTAL (ff last page of this schedule) $ q36(,- 70
61)l-t- L__ I
S rI ~ :Q.
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 personstentifes 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)(i) .)
Page
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
PART 1- 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 if a third party is (loans forgiven must be reported on Schedule E -- In-kind Contributions,)
involved . Include loans from candidate's personal funds .)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED , (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID
MM/DD/YR) If A Ilcable* If A Iicabie
as~~
*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 when it applies . page 1 of
(for Schedule F)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
G BREAKDOWN
OF MONETARY
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY (Rev . 02/96) EXPENDITURES
BY CONSULTANT
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MMIDDNR) PERFORMANCE
From
ESTIMATES OF PERFORMANCE
SUB-TOTAL $
r~A1)r 4 151)14 -, tICc-T«'n ~~ ~d I3,45c ,La~~~ ~'tritPd lf,")
$
TOTAL (If last page of this schedule)
Page of S
(for Schedule G)