FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE DISCLOSURE

REPORT
COMMITTEE NAME (Must be same as on Statement of .Organization)
~ricl t' For Office Use Only

IMPORTANT: Indicate type of committee you are reporting for: a. Comm. #

( 1 )Statewide/t_egislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate

(5 )County PAC (o" )Ballot Issue/Franchise Committee (7 )County/City Central Committee
Indexed .
Audited _
( 8 )Suppo rt Slate of Candidates Computer

SIGNATURE OF TREASURER (or person filing this report) , TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:
I AM FILING A REPORT FOR ANNA ('1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one ~,
[]CHECK` IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.
(You must continue to file reports until a Notice of Dissolution is filed.) I County & Local Committees, enter County in
wh1ch Section Is held

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 asthe.cash on hand at the end
of the last reporting period, or must be:zero if.this Is first reportfiled.) ......:.........................$ 3 41
l
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)................, ........:...... .. '
(Schedule H analies to Candidates' Committees OnIA .
. 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).......................... .... .... . ........... ... ..$ p 2.1
CANDIDATE COMMITTEES ONLY: '
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 For I~structions,-See Back of Form

CONTRIBUTIONS -- MONEY TAKEN IN

(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on -Statement of Organization)

DenniS - Or / Owcu STaJc ©uS'f.

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACT1ON COMMrr rE9, LIST THE PAC IDENTIFICA71011
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 AMOUNr I -4 I F

RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUI
(MM/DD/YR) AND PAC CHECK (ifapplicable) RAJ.'
NUMBER INC(

7 .
aJ-aww f'~ pU
Bo 3s
ac.
PO
ZA s- Qn37 moo . ---
><
Man ck7e .sf-er

Dennis - Alma. ,ai~ ~.IOw

3 9x9 ,heave s-1 ~icQ Civ^ .
(!'edfar -'a1/s . Z 7-1 (ol

loye -Sh,-- rvI /

. W/'114-cr

L0 ~~Qar /D0, 0a
~at~s z ~A .~~1013

~ -j 0 -ill 4? U;, "-a 1-7 e_

C_edtav -~aIIS_ :7-- A !`Z6/A o5'., Oa

h1 a s {-r_ r * 8 is " l o~ e P S -9 --r, o wcv

PO 13o K to 96- .
1) es Morhe.d Z. A 5_0303

ofZo wcv 6m
4f.5 Al > e Ns Rd . '301) 1 -1
1A/ o " p ~- ~" ~So 2 G A - %317
ID#

CK#

~S a n - bin V' ;,s e V'O

, /0-/,' -0,V G`' e, r -P cr fl .g 2_- A _6'b6,/,a

ID# ea n, - oi5 U-) ; 17 >~ er

b
CK# r 9. to Sri s D r .
C°e~ a r -PI
Y

.1/s /4 ~5'n 6 l ,
ID#
S'h tf"jey YVI, Hgrrrs
44l3 ! oime-doi
CK# //Cpy
~~Qar -Fa6ls .~/l .5Z6 3 -S9 /
SUB-TOTAL

TOTAL (if fast page of fhls

schedule)
' Disclosure taw 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 sumame of contributor Is the same as candidate, but there is no . Page of _12~
familial relationship, enter "not applicable' In the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

D"Y) iS ~-o r ,1.-o wa- tj f a ~ e_ /-

louse-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
ID# Mary Lou kni ;4
S0
/0-/9-otl CK#~,5-
/ h0 107 ' "9- l9m
L'°
e-,4 ,x v- .F ct 11,5 .~. ~} 671!v / c .~. O
- ID#
om r ' ~E vh%re.
CK# H//c17 sk. .
0 q- 7 oq Q 0 / O13 .
I Is, -- A u
1
c~JrpC~
ID#
~7onalce - J~-- an Rf chordsoh
CK# ~. l'IQ I R ;6I?9 e w600( D
l~ --i 9-0 ~F 09S e_ .. y o?5.OC~
ID# ~ %
6R zewCL.' a~ , /4sSoc
9/
/0G :. rah& . - Su, I e. 7s o
IB 'l 9-o
CK#
np a 71A, tee`, Yy)o i e. S -
.
S-0,369
_
15-66, d0

ID# Zowctr r l ~cZ( l rS

6/a5 o °°
CK# l3'7a Ntu ilk h Scr -~ loo
0'2X// 'J C/iVG. 2
ID# Ss a ~ is ~- ecL
O© G~neV'a j tr,°~r1 >I'I'a _ruts
cK#
to _l9-0~ ,~ 02 ~l3 I e go - d ` , o©o
rA -
ID#
lode . 1'Ylla2am en~ran 5h er? CO
(o !G G ra not /} Vc-- ~~©,Y 457
CK#
e o - ok65
ID# © 6 y. ~owa~ ^L .vl~us r po/ ; fi ea /
9oSl da
CK# a ~nu Sui ~c 160
to -lq-os~ a3 aS0 ,
cs s - - 3s

&Poo N W
cK# -'-Ave 1, 000
3367 3o h + y 131 - Q00
ID# (o /D / Mo'for C arri (a- Y's 4V
po J3oX lol.2.l 1Egsf- Des f)1o~hcgS~ ,
CK#
//
befs of n r- r, = w~ 36 9,
SUB-TOTAL

TOTAL (if 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) . If surname of contributor is the same as candidate, but there is no Page .21 of
familial relationship, enter"not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE
(Rev MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN . 06/97) I RECEP"TS
(including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Mustbe same as on Statement of Organization) AMENDING FORK

,De o n j ` s -for UJ ry ~,S-"a f e~ lTO 1Js s':-'

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATEPAC (POLITICAL ACT1ON COMMITTEE). USTTHE PAC IDENTIFICA710H
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLEFROM 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 comniercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP

RECEIVED Of applicable) TO CANDIDATE'
(MM/DD/YR) AND PAC CHECK (ifapplicable)
NUMBER
~~`~yfe
t

C. Pvlt a. r -C- // ,s/9

A~_40 - ~.iovas )7~o~l ~,rs
-;2'705* _tn )I" .

Qo9 N. 'Rc`>d ` eve_f~ -S

C' .Qal?C2 r. -Pall_, =A

(Q
o-mod -64/ 1 ., 9:3s- C_ C!d
ID# I-vff «~
.,'P
CK* ,59~z 1 F/ e ~, +^ Dr.
//7,Y 17 s mo j h &_ s ~ ,4 8-Z l
-::Tom e'_S C n ~_'A Is CV tr n~a /~
' 1hJ
. . e7 fie r° 1 , .7 e,aPz .
C r Pa 61 s =r?
Charles - fj'ldi l tr~'a~ i111a1'heson
. ~~'~ C/arl< 1Jr.

T'I /' ct uj k e ~ct c,

po 130 ~ ga s
I°Y1 o i n r_ s ?" ft - S 309
~,arrX - :,orrcrr'n~e, 'l/low
/ 1? o3 G ran a2. ,(3 (vc(,

Cedar Pet /is Z A SZ lo/3

SUB-TOTAL

TOTAL (iflastpage 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 sumame 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)
 For J~structions,-See Back of. fdrm

CONTRIBUTIONS -- MONEY TAKEN IN

(including candidate's :personal funds)

COMMITTEE NAME (Must be same as on Statement ofOrganizadon)

.U-ezo n i ,s ~'o r ._1~c7 cLl txJ v~~'~ ~e, loo L, s C.-

STATE CANDIDATES NOTE: IF A CONTAIBUTiON IS RECEIVED FROM A STATE PAC (POL1TICAL ACTION COMMITTEE), USTTHE PAC IDENTIFICAm10N
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LISTOF 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 contributtons or
for any comniercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAMEAND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 1F

RECEIVED'. (if applicable) TO CANDIDATE' RECEIVED FUi
(MMIDDNR) AND PAC CHECK (if applicable) RAI!
NUMBER INC(
Tames l~ . 7Y)~~0--etieon
CK# x313 /haw +horn e- Ar,
/G -,q / - O it ala 9 CeActr -AQ1/S M A-,5-b(of3 -470 .3
-ID# Chr ;s4--/nom B . B z ueh
CK# 9,0 96 11 D8 -P-a//z
.rQrt /~ ~i ~
Cetatar _
ID# .ob - ~3eek
16 . _ aQ _ D OK#
cp39 ~evQ~ r ,ed g ~i(cI ,3
ID# &'lAP ZOWW Ot +Z m e'~"I^i C AS~ ~.
CK# l ~f5~ So*.b S+ : 6tE Qoy-
to -te a -A4 al~'7 . ' es ~ 0 04,
z a

CK# o? oq 6' c~+ca; yl oQ.. i3 /vcaC .r ~.'® .O

/6 - ~3-0 lOS" ec~Qar -.t:3 v
ID# 7 .

16Q LS d C° cmc., U Yf e(,

CK# so le
ta~a
Po l 33/
o1
)0-ay-f~~F
*
ID#
os -Ia Bonkelrs un ;+C i iI ,(,e
CK# .~ 3~5- S'.0eco w LU 2 7t-d Ave. ' -
3, o00 .
la -as-d~ To b in .s -r so I3 -road .
ID# Dr, (Ro na (cam E .. KLn9
71, Rivev,
C-ea2ar ~'a118 ' !ol

.l Gre~cn cvooa A v c,
.2'tq
C ed- .r
-Fall , T Soff/ 3

TOTAL. (if lastpage of fhis

schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative maldng a contnbution to the
committee. Relationship must be shownto 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 of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
 For Instructions,-See Back of Form

CONTRIBUTIONS -- MONEY TAKEN IN

(Including candidate'a personal funds)

COMMITTEE NAME (Must be same as on Statement `of Organization)

be-n vl,s e? k" J

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATEPAC (POLITICAL ACTION COMMITT~, LISTTHE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIG4
DISCLOSURE BOARD. '

CAUTION: Section- 6813.32A40),

. Iowa Code, prohibits the use of Information copied from reports and statements for soliciting contributions or
for any comniercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP . AMOUNT 4 IF

RECEIVED : (if applicable) TO CANDIDATE' RECEIVED FUl
(MM/DDIYR) AND PAC. CHECK (If applicable) RAh
NUMBER INC(
h 2I-d- - ' P i , a vm co S i/6 b e:,4
'11/l.F I 0 .5 1- ro a r lit R t .
C edci r r
- --Ils =A A~ 6 /,3
3'xme5 - Obc:.i"Tca :+ j3odens+ein
1/6# I=Ovr ' W' nds
<2rd-v 7- A'SSb~ia
ID# Dal?-aid- D. Woo A_
JaJq Abraham Dr,
CK#
Jb'P9 a&dcir --fi.1Ml/s
ID#
~~ ss ill knoll
:Q O Q 5" tI' n~'S+
Gz'-,d a v- 4~~r /I-s --I-
- 19 ~57.~hal,
ID#

CK*
'Yap
ID#
llo R? r k u-) ,-y A v e_
~.~rtar a)/!r; -I-- ti _r~y/af3-'_Q
Iq#

CK# .

[ID*

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL 1
~37o,°a
TOTAL. (if lastpage of this
schedule) $ ;1 . O
' 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 of
farntital relationship, enter'Yiot applicable' In the relationship column. ' (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETAA
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 09/97) EXPENDITU

STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS B0)(l
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Mustbe same as on Statement of Organization)

__~enhi ,5 \S4cje, dd LJS c---

CANDIDATE NAME AND ADDRESS TO WHOM AMOUNT
DATE ID NUMBER EXPENDITURE EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER

L5chee-
5ioo sha,~(y ,
-/~-off Clc# ~> 3
/D 6 I~eafQV' IC a I / s Z/1 ba(o%S

ASS
W c f e-r toe) , T /q SZ} 7p /
~The- _RQ-4 ; o G- 1-co ~ q. CJC l d Ace's
3 S-. 3 T

C+ e.eQn r I I5 Ca b l e, 'T V fi ct

CK ,. " V/Sior) o
to -dc . _v~ .116 6 22N4 f Ceda r ~~.I
FCtr'kwa.,~ ls 4qtPo,q. .10

c, r ;

C-0#

ID#

CK#
//660
/-4rvn I~vrQav S~akesmgr~ lV2iv5pa(Opi" Q ds
Po fB-X 6-7 c,
o w4. ~~ Its , Zf~1 $"ald6
~ds~mcts~-r~ ~-Qmbs - POSf-Q9
Pc QY -~AIIS _T_ A
/o _a l _ 0 ~C CK# //
70

SUB-TOTAL
TOTAL (if lastpage 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 persons/entitles 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)(1) .)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 09/97)

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BO
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FOF
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Mustbe same as on Statement of Organization)

~t~acQ : a ~'l~ , v
r

Corn?aQo .n Prin}in 9
S //,~-' /E' .2 ee and 5^f' .
C ec#av -Palls . Zf}
21!11/ nlorth ern j~awn
247 ,L 1 ~`' a vn pKts /ay4 <Po
'
G ea,r -9'a t Is !r ti .5b6 I g

SUB-TOTAL

TOTAL (if fastpage 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 personstentities 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)(1) .) - - - -

r
(for Schedule B)
 FOR INSTRUCTIONS, SEEBACK OF FORM SCHEDULE
E ~ IN KIND
COMMITS NAME (Mustbe same as on Statement of Organizadon) Rev. 06/97) CONTRIBUTIC
r., /~ ~~
" . :' C.:..6 V) t4S rt"o Y- Tc u~ n.~ ~.S cx C. t`f O L)'s
El CHECK THIS BOX IF
AMENDING FORM

RELATIONSHIP
TO CANDIDATE
' (if applicable)

TOTAL (if last

page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the . Page _ of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
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 .
 .r#% of vv I I wv v IVI vu, OCC CX14UA Ur rVXM
SCHEDULE

COMMITTEE NAME(Musfbe same as on Statement of Organization) LOANS

(Rev. 0W96) RECEIVED
& REPAID
'150
kir)TE : This schedule reports money loaned to the committee which is deposited In the committee account. [] CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED REPORTING PERIOD PART tl -MONETARY LOAN REPAYMENTS MADE U REPORTING PERIOD
(Original source of loan, such as a bank, must be shown Ma thirdpartyIs (loans forylven must be reported on Schedule E- In-kind Contributions.)
involved. include loans from candidate's personal funds.)
NAMEANDADDRESS OF hENDER NAM-IEAND ADDRESS OF LENDER RELATIONSHIP AMOUNT
(Include Endorsers Name, If Applicable) (Include Endorsers Name, if Applicable) TO CANDIDATE* REPAID
If A livable)

TOTAL (PART 1) TOTAL CASH REPAYMENTS (PART lQ $

From Schedule E -TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD

; Disclosure law requires candidate committees to disclo$e the relationship of any relative
making a contribution to the commttees. Relationship must be shown to the third degree of
consangulnity (blood relatives) and affinity (relatives by marriage). (See Page 2 of forms
packet.) If surname of contributor to the same as candidate, butthere1s no famlllal
relationship, enter"not applicable" in the relationship column when It applies. Page