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FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TTEE 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 )0 1 - ~ i j 1Wj r o , ~ ( w i ~v c c l LI 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 f 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( 5 ) c o u n t y PAC ( 6 ) B a l o t I s s u e / F r a n c h i s e Co( 8 ) S u p p o r t S l a t e o f C a n d i d a t e s

O f f i c e S o u g h t

L a t e f i l e d r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s .SEE I NSTRUCT I ONS ON BACK AND COMPLETE THE FOL LOWI NG SENTENCE :I AM FI L I NG A

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a ,

a OO

REPORT FOR ANI A ( 1 ) E L E CT I ON 1 ( 2 ) NON- E L E CT I ON YEAR .( r e p o r t d a t e )

I n d i c a t e o n e aOCHECK I F AMENDMENT TO REPORT DATED

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C h e c k i f t h i s i s f i n a l ( t e r m i n a A a n ) r e p o r t anda t t a c h N o t i c e o f D i s s o l u t i o r r Fo r m DR - 3 .( Y ou mu s t c o n t i n u e t o 9 9 1 e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HAND

C~ i q ) o ~ C oW- S o ~ z

~3 ~ o , ~TELEPHONE

DATE S I GN ED

CASH ONHAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mmi t t e e . T h i s amou n t MUST b e t h e s a m e a s t h e c a s h o n h an d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d , o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S P E RI OD

FORMDR- 2I DI SCLOSURE( Re v 0 7 / 2 0 0 3 ) REPORT

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L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nA/ / ) Ut ~~ ? 2 o 0 GC o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

6 17 - 3 , 9 3

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F o r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI 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 TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t a t O r g a n i z a t i o n )SCHEDULEA MONETARY( R e v 0 6 / 9 7 )R E CE I P T S

CHECK T H I S BOX I FA ME N D I N G FORM

S T A T E C A ND I D AT E S N O T E I F A C ON T R I B U T I ON I S R EC E I V E D F R O M A S T AT E P AC ( P O L I T I C A L A C T I O N C OM MI T T E E U S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P AC C H E C K N U M B E R I N T H E D E S I GN A T E D C O L U M N A L I S T OF 1 0 N U M B E R S I S A V A I L A S L E F R O M T H E I O WA E T H I C S A N D C A MP A I GND I S C L OS U R E B O A R DCAU T I ON S e c t i o n 6 2 8 . 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 s o rf o r a n y c o mme 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 mm i t t e e s

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L AT I ONSH I P AMOUNT v I F F CRECEI VED ( i t a p p l i c a b i e ) TO CANDI DATE - RECEI VED FUND( MM/ OO/ YR ) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SE fNUMBER I NCOM

MRWA sEd t ~ ~C K , *+ + ~ o Z S 3 1 0 1 0 L0 . ' . J V f J . e G t /~U i / , ~ l c " X- ! a ~ =XL , , A S" p v 1 A- 0 r UE

SSO, _l o # ~ Sr ~ t F Tv " Z~

w~ c Km6 ~ T ~ t o~ z r > c c . ~ a l ~ l o ~ ~s - a x sv - Z os D n C 7 . v ~ , f ~ S G - L E , 4 - s v , t JCKn l r c c > , > / G ; d y e r 7 c wr A' r t J ~ ~~ -G 1 72 , 3 wA Z c r ~ t ` t ~ _A 1 0 7 0 / ,l o x L A I 2 1 ? 6 1 l - 1 0 , 2 &- -. h2 4 K l , ~ i : I l 1 1~ G~5 t 7 CK * l f r 7 o GI I ~ S i ' f G/ c ' S i P , 2 . Q c L! l wy - UIAl ~, x 1 e ~ - - A - 5 -0 - 7 6 - s ~ l VO~El o x l 2 o s i v . j&h , / V ( . 4 1& ; , ,

/l CK - 3 q 1 7 ~ y / ~ J o s -j T - L r l . ' , - 4 L / t ' x / Et v 7 2 r K f o ~ ~ ` i S v ? o t - 9 J ~ ~ ' ' i VD t v~ S. , I D ; # Ft . s c 1 ' / 4 f /CK 3 8 ~ sWest 9 f

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Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r mCONTRI 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 TTEE 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 )

) U2 Aj i ewck: ~ -

- SCHEDULEMONETARY( R e v . 0 6 1 9 7 )

RECEI PTS

CHECK T H I S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A S TA TE P AC ( P OL I T I C A L A C T I ON COMMI Ti E E ) " L I S T THE PAC I O E N T I R CA T ( O NNUMBER AND T HE PAC CHECK NUMBER I N T HE D E S I G NA T E D COLUMN . A L I S T OF 1 0 NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARDCAUT I ON : S e c t i o n 6 2 B . 3 2 A ( 6 ) . I o wa Co 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 s o rf o r a n y c o m m e r c i a l p u r p o s e b y an 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 .

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTR16 UTOR RELAT I ONSHI P AMOUNT v I F FGRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE - RECEI VED FUND

( MMI DO/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE fNUMBER I I NCOM! D I6 v l t ; u J " Cd r 1 - e , y h f - LCKK 3gob QA` s: - A7_e_7U&;1 D * 4 e 4 S A4 . . t Mj 42Th a L t d . wh A ~ s j , - A d

/ 6 CK ; - 7 1 3 . 4 3 ~ . 7 ` l i o c ~ ~ ~ -ss~ A ) D AA& / 1 . ~ .&1 1 4 ef Z 1 vn _ -Z- A S - 0 - 7 o i5~7

D * !4 e l4A" 1 ~ ~ 65 ~ ' 6 - 44C . ' r l r ( U 4 . T , - ( k 4 J , * r E/ , 6 CK1 1 1 7 ~ a a C s D( ~ we6 - u - 8gqZ. C f t !

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F o r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI 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 ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )C 1 4 1 . Z e A 4S f i L . A/ r ' ~ r v t c ~ / C .

SCHEDULEA

( Re v 0 6 1 9 7 ) MONETARYRECEI PTSCHECK THI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) . L I S T THE PAC I O E N T I F I C A T I C NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON Se ct i o n 6 8 B . 3 2 A ( 6 ) . I o wa Code . 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 me 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 s o rf o r a n y c o mme 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 mmi t t e e s .

DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT v I F F OR

RECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE - RECE I VED F UND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI o # l ~ r ~ t v v 2y ASuk o 5W, . &y

v c CK# 7 i r ~b ~ / l3 L 9S ' - . I l c ~ X l OS 1_4 . S - - b - 7 0 i - 2 Z1 0 # v 2 S h ~ a 2 n . S t iCK# ss? ~ 9 , 7 ~ ' ; K / 1 : d y ~ / 0 0.U~K~ c~~4 Uba lI D #CK#I D #CK#I D #CK#I D #

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FOR I NSTRUCT I ONS , SEE BACK OF FORMEXPENDI T URES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE T O STAT EWI DE OR L EGI S L AT I VECANDI DATES . L I S T T HE CANDI DATE I DENT I F I CAT I ON NUMBER I N T HE DES I GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWAETHI CS & CAMPAI GN D I SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)i ( * 1 i Z 5 r- o ( L

~r t ~ 7 l J C G~ G

DATEEXPENDED( MM/ DD/ YR)

~y2q i Gt ~ dway >~2. i ~

A . ~ f = a . - -- , 40f 2 , 4 f

AMOUNTEXPENDED

SCHEDULEB( Re v . 0 9 / 9 7 ) MONETARYEXPENDI TURESQCHECK T HI S BOX I FAMENDI NG FORM

CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE1 0 NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON )( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADEAND PACCHECKNUMBER

CK# / x ) 4I D#CK#

/ 0 05 -

wE_ - 5 7-~d/ l v r ~ 4/ l 0~l , E~ G f / A c 1 h i f , y d o y

SE1 k P S b~1 2 4 7~5$

i 7 3, 7 S

1 D# ~~~ w a i , 1 ' t t G, ~ ~1 1 - V 6~k d Ca r u , S ( . t CI " Av y s7. . 1 2 qCK# ' 7 " / Z5_ M~ 9 Lu, : Z : A ~s - aa . > 7

I D# Gr aph , C' sCK# ~o 1 9 1 6 ' , , A y J ' S _ z 4 7 3 . 3 3h 0 71 D# T , , 4 m i T l f / , ~ ' 7 VG~ / ~ r t e_ ~ U , C X f , ~ o . _e&ph64. , J , ' d f Z s qCK# ~ 1 1 " Tcf aon. , _ Z -A ~ 07 6 z A r ' t 6 4 2! ~ES 2 t o . y Gs L c / l ? i L G 4 7 - / -7s6. , ~ r

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FOR I NSTRUCT I ONS S EE BACKOF FORM SCHEDULE1 3 MONt T ARYEXPENDI T URES - - MONEY SPENT FROM COMMI T T EE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOT E : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V E 0 CHECK T HI S BOXCANDI DATES, L I S T T HE CANDI DATE I D E N T I F I C A T I ON NUMBER I N T HE DESI GNATED COLUMN AND T HE I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF 1 0 NUMBERS I S A V A I L A B L E FROMT HE I OWA AMENDI NGFORMET HI CS 3 CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f O r g a n i z a t i o n )e , 2 - &W. 5 F2 w , ~. s ~ ~

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DDI YR) AND PACCHECK

NUMBER ' `

C)l v L . CK# / O/ L ~g T ~x l ~ . . ~ a s a 7 Q ~ . _ a y ~sI D #

CK*I D i #CK#I D#CK :I O U "CK :

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FOR I NSTRUCT I ONS, SEE BACK OF FORM

T HI S FORM I S USED BY CANDI DATES' COMMI TT EES ONLYCOMMI TTEE NAME ( M u s t b e sa me a s o n S t a t eme n t o f Or g a n i z a f f o n)e I ~/ 2 'e. Gj / " 2 &2

PART - ONGOI NG I NVENTORY OF CAMPAI GN PROPERTY

PART 1 1 - SALES OR TRANSFERS OF CAMPAI GN PROPERTY " '

SCHEDULEH( Re v 0 2 / 9 6 )

TOTAL VALUE CAMPAI GN PROPERTY T HI S REPORT , y l

L tv

" " PROPERTY SALES & TRANSFERS TOTAL

TOTALS

$

( TRANSFER TO SUMMARY PAGE) $

( TRANSFER TO SUMMARY PAGE) $

CAMPAI GNPROPERTY

ATTACH SCHEDULE H TOEACH REPORT, MAKI NGCHANGES AS REQUI RED

Ej CHECK T HI S BOX I FAMENDI NG FORM

' I f e s t i m a t e d , s h o w e s t b e s i d e f i g u r e

( A t t a c h A d d i t i o n a l Sc h e d u l e s I f N e e d e d )

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Pag e s( F o r S c he d u l e H)

Da t e( MM/ DDNR) Name a n d Ad d r e s s o f Pu r c h a s e r / Do n e e D e s c r i p t i o n o fP r o p e r t y S o l d ?YI N S a l eP r i c e V al u e o fD o n a t i o n

D a t e P u r c h a s e d( S c h e d u l e B)o r Da t e Re c e i v e d( S c h e d u l e E )MM/ DDNRD e s c r i p t i o n o f P r o p e r t y Pu r c h a s eP r i c e o r E s tV al u e Whe nA c q u i r e d *

C u r r e n tV a l u e a t F a i rMa r k e t T h i sRe

- 5 -//~0 , 6 y ~ , s 4 y i z qa C v r Z . y o