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FOR',NSTRUCTIONS, SEE BACK OF RM FORM

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

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

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


(report date) Indicate one

HECK IF AMENDMENT TO REPORT DATED - .2~ -D .Z- Local Committees, enter Date of Election

County & Local Committees, enter County in


p Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed .)

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 as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed .) .. ....... .. .. ..... .. .. ..... .. .... . . .... ..... .. .. .. .. .. ... .. .. .... .. .. .. . . . .. $ lyyA~. s~o
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) .. ..... .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .... . .. .. ..
Schedule C: Fund-raising Events total (Attach Schedule C) .. .... .. .. .. .. .. ...... ... .. .. .. .. ..... .. .. .. .. ..
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)

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

For office use only

CANDIDATE'S C MMITTEE NAME (Must be same as on State ent of Organization)

DATE NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT


EXPENDED (Disbursement) WAS MADE PURPOSE EXPENDED

; 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

TOTAL (if last page of this schedule) $ 72- S


Expenditures to consultants (persons/entities providing consulting, advertising, fundraising, polling, managing, organizing services,
etc .) must also be detail itemized on Schedule G by the amount, purpose, and date of each type of expenditure made by the
consultant on behalf of the candidate's committee . See manual for more specific instructions .
CPF-12105/140-0055/(Rev. 1990) Page _~ of -L
(for Schedule B)
7o0o OW OOQ J Vo~ 9q5- 7
FOR'INSTRUCTIONS, SEE BACK OFF M FORM
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT

For Office Use Only

Audited 14. .12 S_ 0 Z_


IMPORTANT: Indicate type of committee you are reporting for:
Computer W :f -S
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Fr chi se mittee ( 7 )County/City Central Committee
( 8 )Support ~ f Candid alas

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

EICHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


p Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

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 as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed .) . .. ....... .. ..... .. .... .. ... .. .. .. .. ........ ... .. .. .. . . . .... .. .. .. .. .. .. . . . .$ /2/~
4f
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) . .. .. ... .. .. .. .... .. .. .. .. . .. .. .. .. .. ..... .. .. .. . 9(a 7. -7 7
Schedule C : Fund-raising Events total (Attach Schedule C) .. ..... .. .. .. .. .. .. .. .. ... .. .. .. .. . .... .. .. .. .. .
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 .....$
l l,
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
LZ
Schedule B: Expenditures total (Attach Schedule B) ...... .. .. .. .. ... .. .... .. .. .. .. .. . ... ..;. .. .. P

.1
-11

Schedule F: Loan Repayments total (Attach Schedule F) .. .. .. . .. .. .. .. .. ..- . .

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

FR 41,5E -- /115-6 P.-

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID# &ql/ /yf~',~~'~__
$ 00
7a 7 -I ti S-t- Sui rE 36ov

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

(including candidate's personal funds) For office use one


__
fXAl5E - rok-
CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization)
r,,E~
NOTE: IF A CONTRIBUTION IS RECEIVED FROM A PAC (POLITICAL ACTION COMMITTEE), LIST
THE PAC IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN . LIST OF I .D. NUMBERS
IS AVAILABLE AT NO COST FROM THE ETHICS AND CAMPAIGN DISCLOSURE BOARD .

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)

(o Z l C~PF~ir H/vim/ l777 C $


3 7 37 Gr~ESTau/.1/ ,e
o~ --4( l y3U hF '9 ~01~"S 4 0 26S`

~L o ~ G olJE 1"~

SUB-TOTAL $
r

TOTAL (it last page of this schedule) $

'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)

L-05828/140-0054-U(Rev .1993) Page f2- Of A;7


N

(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

For Office Use Only

Audited 14. .12 S_ 0 Z_


IMPORTANT: Indicate type of committee you are reporting for:
Computer W :f -S
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Fr chi se mittee ( 7 )County/City Central Committee
( 8 )Support ~ f Candid alas

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

EICHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


p Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

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 as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed .) . .. ....... .. ..... .. .... .. ... .. .. .. .. ........ ... .. .. .. . . . .... .. .. .. .. .. .. . . . .$ /2/~
4f
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) . .. .. ... .. .. .. .... .. .. .. .. . .. .. .. .. .. ..... .. .. .. . 9(a 7. -7 7
Schedule C : Fund-raising Events total (Attach Schedule C) .. ..... .. .. .. .. .. .. .. .. ... .. .. .. .. . .... .. .. .. .. .
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 .....$
l l,
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
LZ
Schedule B: Expenditures total (Attach Schedule B) ...... .. .. .. .. ... .. .... .. .. .. .. .. . ... ..;. .. .. P

.1
-11

Schedule F: Loan Repayments total (Attach Schedule F) .. .. .. . .. .. .. .. .. ..- . .

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

FR 41,5E -- /115-6 P.-

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID# &ql/ /yf~',~~'~__
$ 00
7a 7 -I ti S-t- Sui rE 36ov

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

(including candidate's personal funds) For office use one


__
fXAl5E - rok-
CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization)
r,,E~
NOTE: IF A CONTRIBUTION IS RECEIVED FROM A PAC (POLITICAL ACTION COMMITTEE), LIST
THE PAC IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN . LIST OF I .D. NUMBERS
IS AVAILABLE AT NO COST FROM THE ETHICS AND CAMPAIGN DISCLOSURE BOARD .

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)

(o Z l C~PF~ir H/vim/ l777 C $


3 7 37 Gr~ESTau/.1/ ,e
o~ --4( l y3U hF '9 ~01~"S 4 0 26S`

~L o ~ G olJE 1"~

SUB-TOTAL $
r

TOTAL (it last page of this schedule) $

'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)

L-05828/140-0054-U(Rev .1993) Page f2- Of A;7


N

(for Schedule A)
FOR INSTRUCTIONS, SEE MANUAL

SCHEDULE
MONETARY
B
EXPENDITURES - MONEY SPENT CANDIDATE
EXPENDITURES

For office use only

CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of Organization)

=X'415F -- Fob-

DATE NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT


EXPENDED (Disbursement) WAS MADE PURPOSE EXPENDED

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

TOTAL (it last page of this schedule) $l~ ,


Expenditures to consultants (persons/entities providing consulting, advertising, fundraising, polling, managing, organizing services,
etc .) must also be detail itemized on Schedule G by the amount, purpose, and date of each type of expenditure made by the
consultant on behalf of the candidate's committee . See manual for more specific instructions .
CPF-12105/140-0055/(Rev .1990) Page A of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H CAMPAIGN


(Rev . 02/96) PROPERTY

COMMITTEE NAME (Must be same as on Statement of Organization) ATTACH SCHEDULE H TO

S~~~T/-
EACH REPORT, MAKING
~~ AISE X02 CHANGES AS REQUIRED .

Q CHECK THIS BOX IF


PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY AMENDING FORM
PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY **
Date Purchased
(Schedule B) Purchase Current
or Date Received Description of Property Price or Est . Value at Fair Date Name and Address of Purchaser/Donee Description of Property Sold? Sale Value of
(Schedule E) Value When Market This (MM/DD/YR) YIN Price Donation
(MWDDNR) Acquired* Report

~7y 17
rds-1'5e

TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT


(TRANSFER TO SUMMARY PAGE) $
m3. u/ ** PROPERTY SALES & TRANSFERS TOTAL
(TRANSFER TO SUMMARY PAGE) $
TOTALS $ $

"If estimated, show est. beside figure . (Attach Additional Schedules If Needed) Page __ of Pages
(For Schedule H)

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