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    FOR I NS T I RUCT I ONS , SEEBACK OF 1RM

    DISCLOSURESUMMARYPAGE . JAN 1 1 2 0 0 2COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n ) _ . .

    PAL MER FOR SENATE COMMI TTEE

    I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e Co mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l Commi t t e e( 8 ) S u p p e o f Ca" t es

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    Fo r I n s t r u c t i o n s , Se e Back o f FcCONTRI BUTI ONS - MONEY TAKEN I N

    ( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( M u s t b e same a s o n S t a t e m e n t o f O r g a n i z a t i o n )

    PALMER FOR SENATE COMMI TTEESTATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CAL ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CA TI ONNUMBER ANDTHEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n sf o r a n y c o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s

    D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o m mi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o m m i t t e e R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a m e o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r ' n o t a p p l i c a b l e ' i n t h e r e l a t i o n s h i p c o l u mn

    SUB- TOTAL $ 16 . 3 5TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) I 16 . 3 5

    P a g e 1 o f 1( f o r Sc h e d ul e A)

    SCHEDUL EA MONETARY( R e v 0 2 / 9 6 ) RECEI P T S0 CHECK T H I S BOXAMENDI NG FORM

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR R E L A T I O N S H I P AMOUNRECEI VED ( i f a p p l i c a b l e ) TO C A N D I D A T E ' RECEI V( M M I D D / Y R ) AND PAC CHECK C r f a p p l i c a b l e )NUMBERJ an 2001 I D# I n t e r es t on c h ec k i n g accoun tt h ur

    - 2500 E Euc l i d $ 16 . 3 5Dec 2001 CK# Des Mo i nes , I o wa 50317I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#

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    FOR I NSTRUCTI ONS, SEE BACK OF FORMEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

    STATE PAC COMMI TTE ES NOTE F OR C ON T R I B U T I ON S MADE T O S T A T E WI D E OR L E G I S L A T I V EC A N DI D A T E S L I S T T HE C A ND I D A T E I DE NT I F I CA T I O N NUMBER I N T HE D ES I G NA T E D COL UMN AND T HEPAC CHECK NUMBER FORE ACH E X P E ND I T U R E A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWAE T H I C S 3 CAMPAI GN D I S C L O SU RE BOARDCOMMI TTE E NAME ( Mu s t b e s ame a s o n St a t eme n t o f Or g a n i z a t i o n )

    a n Mu: L I D#T h u rDe c 2 0 0 1 CK #

    CK#

    I D#CK#

    I D#CK #

    I D#CK#

    F i r s t a r2 5 0 0 E Eu c l i dDe s Mo i n e s , I A 5 0 3 1 7

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    CATEGORY' AMOUNT( S E E BE L OW) EXPENDE

    h e c k i n g a c c o u n tMa i n t e n an c e f e e 7 6 . 3

    SUB- TOTAL $ 7 6 . 3 2t $ 7 6 . 3 2TOTAL ( I f l a s t p a g e o f t h i s s c h ed u l e )

    T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEE S ONLY :" C a mp a i g n f u n d s ma y b e u s e d o n l y f o r .( 1 ) c a m p a i g n p u r p o s e s ,( 2 ) c o n s t i t u e n c y e x p e n s e s , a n d( 3 ) e d u c a t i o n a l a n d o t h e r e x p e n s e s a s s o c i a t e d w i t h d u t i e s o f o f f i c eP l e a s e i n s e r t t h e a p p l i c a b l e n u m b e r i n t h e c a t e g o r y c o l u mn f o r e a c h e x p e n d i t u r eP u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r m o r e m u s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e dS c h e d u l e G b y t h e a m o u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e ma d e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e ( R e fS c h e d u l e G i n s t r u c t i o n s a n d I o w a C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

    P a g e o f 1( f o r S c h e d u l e B

    SCHEDULEB MONETAR( R e v 0 8 / 9 6 ) EXPENDI TU

    Q Q CHECK T HI S BOXAMENDI NG FORM

    PALMER FOR SENATE COMMI TTEECANDI DATE NAME AND ADDRESS TO WHOM PURPOSEDATE I D NUMBER EXPENDI TURE ( D E S CR I B EEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE TRANSACT I ON)( MM / D D/ Y R ) AND PA CCHECK NUMBE R