FOR INSTRUCTIONS, SEE BACK OF FORM

I
FORM
DR-2 . DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT
r For Office Use Only
a

COMMITTEE NAME (Must be same as on Statement of Organization) Comm. fF

lk z;r- 9~thl 2~~ 5101 - ' <5 .~jf &/0/!1Z-TT2F~ ~ Indexed

9-17-6,
Audited
IMPORTANT: Indicate type of committee you are reporting for. Q Computer G'( - -
(1 )Statewide/Legisiative Candidate )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )Coun C~ 8 )Ballo Issue/F nchise Committee ( 7 )County/City Central Committee
( 8 )Su ppo Ia of Ca ate;
(
( 712) z,~Y=3 SIS0
TREASURER
or person filing this report) TELEPHONE DATE SIGNED

~ S' 'VE >' 6 G AW`Y~'aarr "

Routine Penalties Due For Late Filed Reports Range from $20 to CJIEC .1aZ",' SAD

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: JAN 2 4 2002
)OM /_ z . z
i AM FILING A //// o 0/ -4 /,Z-/Xi Ac l REPORT FOR AN/A (1) ELECTION /(2)NO TION YEAR .
(report date) Indicate one

OCHECK 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 Fort 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.) ..................................................................... .... ... $ -3 90
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) .. ........... ........................ ....... ... ..
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 .....$ 3/d', 9O
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ....... .. .... .. ....... .. ....... ...... ....... .. ....... ......
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) .... .. .. ..... .... .. ............. ................. .......... .............. .... ............... ............. . $

0
UNPAID BILLS (From Schedule D - Attach Schedule D) ............ ...... .. .................... .. ......... .... ..... .. .. .. . $ 7-'--632,30

IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. ............. ......... .. .. ......... .. ..........$ G
DO
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .......... .... ....... .. ......... .... ....... .......... $
CANDIDATE COMMITTEES ONLY : ~h

YES NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
ArwL2
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 FOR INSTRUCTIONS, SEE BACK OF AM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 7 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS t: CAMPAIGN DISCLOSURE BOARD.

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

FAf1
CANDIDATE NAME AND ADDRESS TO WHOM
Jr m,ew PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (d applicable) (Disbursement) WAS MADE
(MM/DDfYR) AND PAC
CHECK
NUMBER

/d 1D# e(5 lc;9~ 6,61w1c

7a
CK# ~. -
l 3/ ~ l
ID# AV
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
IN
CK#
ID#
CK#
SUB-TOTAL $
TOTAL (N last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMrrTEES ONLY:

Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/endties providing corsuftp, advertising. fund-raising, poYing . MWWPtp, orgwdzing services must also be detail itemized on
Schedule G by the amount. purpose, and date of each type of experdWm made by the pemoNertdty on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 58.8(3)(1).)

Page ~_ of -L__-
 FOR INSTRUCTIONS, SEE BACK OF FOR SCHEDULE
D INCURRED
(Rev . 08/98)1 INDEBTEDNESS

CHECK THIS BOX

IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt' is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD"
$
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OV
L,1/o01,_y t
660 , ck-)

G{gy fA~~
S~Z
zg

X61 (/~~~ v
~o
Zd~ S-DDO 7,ceWrr f S " la z

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

'If actual figure is unknown, show "estimated" beside the figure . Page I of_Z
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for futureor
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing,
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant.
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
COMMITTEE NAME(Must be same as on S(afernent of Organizatioto F LOANS
(Rev . 0111%) RECEIVED
a REPAID

NOTE : This schedule reports money loaned to the committee which Is deposited in the committee account. p CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM I = REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED I= REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE IM REPORTING PERIOD
(Original source of loan, such as a bank, must be shown If a MW party Is (Loans forgiven must be reported on Schedule E -- If -kuid Contributions.)
involved Include loans from candidate's personal funds.)
_
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHI AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MMIDDIYR) (Include Endorser's Name, It Applicable) TO CANDIDATE' REPAID
(MMJDD/YR) If Applicable-) (It Applicable)

TOTAL (PARTI) TOTAL CASH REPAYMENTS (PART11) $

Orem Schedule E -- TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD

'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.) It surname of contributor is the same as candidate, but then is no famwsl
relationship, enter -not applicable' in the relationship column when k applies. Page-.----L of
(( .,. Sr.Ijednl". rl
rurc INJ I RUCTIONS, SEE BACK OF FORM SCHEDULE
G BREAKDOWN
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY OF MONETARY
(Rev. 02/96) EXPENDITURES
BY CONSULTANT

COMMITTEE NAME(Must be same as on Statement of Organization) CHECK THIS BOX IF

AMENDING FORM

PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT

TO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART I - NAME AND ADDRESS OF CONSULTANT reported on Schedule B, as they are direct payment from the consultant .)

A,
Name of Consultant DATE
EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
FAZ ~// , MM/DD/YR (Disbursement) WAS MADE PURPOSE EXPENDED
ng Address

a
SD o o r1 ~a .~ ' /y Z
City State Zip Code

pa-t, z.4 S-zan 7

TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MM/DD/YR) PERFORMANCE

From J~J AV
To !1?~

ESTImATES OF PERFORMANCE

SUB-TOTAL

TOTAL (If last page of this schedule)

Page -~ of
for Schedule G)