Beruflich Dokumente
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DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT
MAR 1 5 2002 For Office Use Only
COMMITTE NA E (Must be same as on Statement of O aniz t' ~ Comm . # 21
~ ' /5 _moo S~/ Indexed -
Audited
IMPORTANT: Indicate type of committee you are reporting for:
Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Frpnchisp4mmittee ( 7 )County/City Central Committee
( 8 )SupporfSle"f Candid
r
TELEPHONE DATE SIGNED
Penalties Due For Late Filed Reports Range from $10 to $400
HECK IF AMENDMENT TO REPORT DATED - .2~ -D .Z- Local Committees, enter Date of Election
R£Y~vuS
SUB-TOTAL .....$
TMS
/GYSO i7
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) .. . ../,?6Z. V... .. .. ../ ! s'C. .
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 COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 1131
FOR WS TRUCTIONS, SEE MANUAL
SCHEDULE
B
MONETARY
MAR 15 2002
EXPENDITURES
EXPENDITURES - MONEY SPENT CANDIDATE
; 0 !Z&
- W $
G~o1/
32
a9~T v P,41 ()A7-E
FL let p
. F/
i ~s 3 - z- u8
~oori3fl< L
9. ~ E_ Co aAl7"Y p6,ld 47-,5
Futip
l3~
r U %SaA1 Jfi 7
IRDII
/`i~W
.K 1E/~i
$
I 71Z
SUB-TOTAL
SIG ATURE OF TREASU (or n filing this report) TELEPHONE DATE SIGNED
.91 ~.
t
Penalties Due For Late Filed Reports Range from $10 to $4
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE : JAN 2 4 2002
e
2
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2~U ¬ 10 Y~R.
(report date) .dicale one
.1
-11
CASH ON HAND at the end of this reporting period (if final report, balance must 7,~ ~
be zero) (Attach DR-3) . .. .. .... . .... .. . .. ....... .. . .. .. .. . .... .. ... .. .. ........... .. .. .. .. ........... .. ,. .. . .1..... ..1`1. .~5
UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . .. .. . . . .. .. .. .. ..... .. .. .. .. .. .. ..... .. .. .. .. ..... .. .. .. .. .... .$
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
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ / 7351
Fer Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 02/96) 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 .
7
cK#
/l3 Co e lo 2.e,?
ID#
C, f{ /v_FlL sFI/
p CK# 7,7 S6 Z o Ti ?"~ E i Sam' Cl gCL E
ID# w9~ -
/VWh,0`54e7c~/16D b{otrS11
7
;19 P~+c
O/ 1,9e0-6> PEA4 f1 VE . od
ID#
08
2w ST Sup rc Zv 5 /
CK#
s r hf5 oi,14 5 - r,4 _S0Zb
ID#
,~,~1Z12SJ
96ytLl r2 oy
o V 5'Tocl<AoRT ~-
s ss
cK#
° 4
ID#
63Sl ffT~L~~~ Ai<T5- oG_Z-A
CK# - -5 9
3 (VET 9s AroIA/l:s .-Tlq .s6~6
/o I D#
-720 2 N<~ r o7-y 57- vy
CK#
l 9,20 Z cw P~~ 1 --Z So3s 2
ID# (,1S16 /lo~~guiw 51?5 sass - PAS
D / cK#
1305-_ 9,F5 /t'IOIANF5 .T74 . S-
ID# &/25 SA , Ict AL -7-0,0!e5 PA C
999 D~4~~'IDGE PP- . `~ o0
cK#
l8 ~f9 d~~E`S ~-~ .so3r
ID#
Ol ,, // ;j/ 009 7a /ll F7 o ff SS/~
_~J2 rti ST Su~TE zo S~
/lo CK# n/~ l ~S"X-
kJ~ T F /1'I%t~~5' ,,G' -4 ~Z6
SUB-TOTAL
$
1..50D
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) (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)
SCHEDULE
A
CONTRIBUTIONS - MONEY TAKEN IN STATE
CANDIDATE
I MONETARY
RECEIPTS
Section 68B .32A(6), Iowa Code, prohibits the use of information from reports and statements for soliciting contributions or for any commercial
purpose by any person other than statutory political committees .
DATE PAC I .D. NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT
RECD (it applicable) (If proceeds from fundraiser, show fundraiser sponsor) TO CANDIDATE' RECEIVED
(if applicable)
~L o ~ G olJE 1"~
SUB-TOTAL $
r
'Disclosure law requires candidates 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)
(for Schedule A)
7o0o OW OOQ J Vo~ 9q5- 7
FOR'INSTRUCTIONS, SEE BACK OFF M FORM
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT
SIG ATURE OF TREASU (or n filing this report) TELEPHONE DATE SIGNED
.91 ~.
t
Penalties Due For Late Filed Reports Range from $10 to $4
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE : JAN 2 4 2002
e
2
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2~U ¬ 10 Y~R.
(report date) .dicale one
.1
-11
CASH ON HAND at the end of this reporting period (if final report, balance must 7,~ ~
be zero) (Attach DR-3) . .. .. .... . .... .. . .. ....... .. . .. .. .. . .... .. ... .. .. ........... .. .. .. .. ........... .. ,. .. . .1..... ..1`1. .~5
UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . .. .. . . . .. .. .. .. ..... .. .. .. .. .. .. ..... .. .. .. .. ..... .. .. .. .. .... .$
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
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ / 7351
Fer Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 02/96) 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 .
7
cK#
/l3 Co e lo 2.e,?
ID#
C, f{ /v_FlL sFI/
p CK# 7,7 S6 Z o Ti ?"~ E i Sam' Cl gCL E
ID# w9~ -
/VWh,0`54e7c~/16D b{otrS11
7
;19 P~+c
O/ 1,9e0-6> PEA4 f1 VE . od
ID#
08
2w ST Sup rc Zv 5 /
CK#
s r hf5 oi,14 5 - r,4 _S0Zb
ID#
,~,~1Z12SJ
96ytLl r2 oy
o V 5'Tocl<AoRT ~-
s ss
cK#
° 4
ID#
63Sl ffT~L~~~ Ai<T5- oG_Z-A
CK# - -5 9
3 (VET 9s AroIA/l:s .-Tlq .s6~6
/o I D#
-720 2 N<~ r o7-y 57- vy
CK#
l 9,20 Z cw P~~ 1 --Z So3s 2
ID# (,1S16 /lo~~guiw 51?5 sass - PAS
D / cK#
1305-_ 9,F5 /t'IOIANF5 .T74 . S-
ID# &/25 SA , Ict AL -7-0,0!e5 PA C
999 D~4~~'IDGE PP- . `~ o0
cK#
l8 ~f9 d~~E`S ~-~ .so3r
ID#
Ol ,, // ;j/ 009 7a /ll F7 o ff SS/~
_~J2 rti ST Su~TE zo S~
/lo CK# n/~ l ~S"X-
kJ~ T F /1'I%t~~5' ,,G' -4 ~Z6
SUB-TOTAL
$
1..50D
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) (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)
SCHEDULE
A
CONTRIBUTIONS - MONEY TAKEN IN STATE
CANDIDATE
I MONETARY
RECEIPTS
Section 68B .32A(6), Iowa Code, prohibits the use of information from reports and statements for soliciting contributions or for any commercial
purpose by any person other than statutory political committees .
DATE PAC I .D. NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT
RECD (it applicable) (If proceeds from fundraiser, show fundraiser sponsor) TO CANDIDATE' RECEIVED
(if applicable)
~L o ~ G olJE 1"~
SUB-TOTAL $
r
'Disclosure law requires candidates 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)
(for Schedule A)
FOR INSTRUCTIONS, SEE MANUAL
SCHEDULE
MONETARY
B
EXPENDITURES - MONEY SPENT CANDIDATE
EXPENDITURES
=X'415F -- Fob-
r
l S r-. "
s0 ~~ ~,
f.
p ,ZS
AAWC e5 A 4lZ T/SI G Cr'
po~~ x 87 90
~y o l ~Olt/fi1 1 7
2
.4
-- o ckr9 Re 4,erv ~I,4,1a,Pi ri act
Sla~i i< LeF~e D JZ
. -47or41e5 ~c so3~ e4 u3 360
PfMUCX47_1e' kkrY 1*4Sa.er
~v v/ ~- l ~L Lf £ 2
~ f~ ~0 3 ~LU~ ~Dl~
nor ~`~
co 1irl r y ~vcl~,4 T 5
2 c<_~ oDT'fj,4L L- o0
AlPRA 13',11*je
l l ~ll~ J25
SUB-TOTAL $1
S~~~T/-
EACH REPORT, MAKING
~~ AISE X02 CHANGES AS REQUIRED .
~7y 17
rds-1'5e
"If estimated, show est. beside figure . (Attach Additional Schedules If Needed) Page __ of Pages
(For Schedule H)