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G

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DR-2,.
DISCLOSURE SUMMARY PAGE DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use Only


sg5- S )LO Comm . # :21,513 7
IMPORTANT: Indicate by # type of committee you are reporting for : Logged In -
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee (5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC (8 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought ' - District (if Senate or House) penalties .

611-~~2 - 3i V I
TELEPHONE DATE SIGNED

I AM FILING A _;) SCLQS V9-IE


&0KT REPORT FOR (1) ELECTION/(2)NON-ELECTION YEAR .
(report date) 04V~v~T Z3, ZPDS Indicate by # 0
LFCT) Cap
Local Committees, enter Date of Election
nCHECK IF AMENDMENT TO REPORT DATEC

F1 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all fund . ;.eld 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 flied.) .. . .. ... ... ... .. ... .. ... .. . .. ... . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .. . .. ... . . S-07-s-.00
Schedule F: Loans Received total (Attach Schedule F) . ... ... ... ..... . .. .. . .. ... ..... ... .. . .. ... .. ... ... ..... D . D~D
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. . ... .. ... ... .. ... .. ... ... .. . .. _VD
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .....$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . ... 32-91 .3- -+
Schedule F: Loan Repayments total (Attach Schedule F) . .. . .. ... . . . .. ... .. ... .. ... . .. .. . . . . . .. . .. ... ... .. . `Q
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . .. . . . .. . . ... .. ... .. . . . .. . .. . .. ... ... . . .. . . . . . .. . .. . .. . .. . .. . . . .. .. . . . ... .. . .. .. . . . ... . . . .. . . . .. . ... . $ 171/3 .2-3
**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) $
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statemen, 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 .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDOIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

&,qn'SS
ID#

I D# O
yZA4 Ar ~13r~ l ~ C Lh n
CK#
V &Won n_1)
ID#
C41'n
CK# o~ 3 oet
ID#

E:1
j S~gnE mcl'f'll9klprl

CK# ~2 T mbFx.l4xF
242P
TY
, JIFQ) ~~

171 E::1
ID#
PM e_01)4)3Vn
CK# ~ FIB 43-S ' 11 p4 i.IIVV 1'1
sA>7 ~r~ ~~falr~)Fw,~
-
k 2PP
ID#
~~ha Pr Ivh ~Dn
6 `Z -'QS CK# ~) Lnvae .l Pot
1 b -:1fl

P ly T
ID#

J 3 - 9~ CK# &
Z

ID#

~O-9-ps CK# Zb~~


~w .~~ Szs
ID!# ~1 . ~n~1 VSTfz1QL ~'l",4STIiS .r1C_
CK# 3p 22 ~~S-r

ID#

225-4 6 ) F55pla n~ 23-p"-~


CK#
Z
t41) ) E L1>
SUB-TOTAL
$Z-DPv~'
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) . 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)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

SOS_ S)LP

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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

S~TE~h~ ??,~vs~ CC
ID#
~,Qi~g
b 1Z _VS cK# s. yam,
Sr $ Z~
L sLS~
ID#
Y71CC /)1r4 0vn
E:1
-34
- t- y-

VS CK# )) ? LVvdl=rt &


:714 -
L
ID#
Per ~
,Z~1 __
CK#
I$
~' 3
:3T Lb
L 1~
U4
d
5
)
i7~ E:1
ID#
Cvmm )ink evie.p kEn N4cLv~ r,
.. Zl_V5' CK# 11' 2 Lvvd
L~
-Z. .~-r9 ,~~sL
.SDD E]
ID#
DJ~rAh n iii ) r ~'~1r4t .L~
I
~-Zg_ p5 CK# N 3S7
_ E]
Et 5
ID#
Lhi~s?c r~. 5w~ svq ~Dn
p>s)4jC YF-
CK# I P E:1
7-6 S zsS.
I D# TsrypTl4 v7 j4o9wTo?J2)'1 F
CK# )92S7 (?kx*~;131y)
-2 J- pS S-PG
S Sl,
ID#

CK# elf '? Sti'1

ID#

CK# 22-Z'3
'Z'-
il -0-N- t'
ID# T) r*7 44crs
Z2-2'3 i gs .~ St --
CK# ~5

SUB-TOTAL

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) . 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)
For Instructions, See Back of Form
I
SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) 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.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
)3vb k Fut~
Z- 0 CK# 8)Ti S.
-1-*,9-
ID# ZLm. ~`7r n )d Ex4non
$-- ~~GS CK# bVZ A)P_<id E7 Pig ZDi~~'
.SZ.S
ID#
E s-
WA4.j J-01 E:& XF
CK# V9 CDPk`r r
El
ID#

CK# El
ID#

CK# E]
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#
E]
ID#
CK#

SUB-TOTAL
$ 2-4-5-
TOTAL (if last page of this schedule) r?'

' 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) . If surname of contributor is the same as candidate, but there is no Page 3 of _3
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 07/03) EXPENDITURES

D
STATE PAC COMMITTEES : N0TE : FOR CONTRIBUTION6 MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

SPS- SIL :,
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# . E -59n Gv11r1T'7 ~OLJIe b d q~-~ ~Fm~~
CK# f,-4) it 3©-11 $
Sa V ~/
~l- ld ~ Fcr~~
ID# !"oj t~2 II~F S 'V~~ C9q 1ES ~t~Q
CK# ,SU 4 E. WASH )FIST p n
i T.--)L s
ID# ~s)~ ~~rr1nF bFS~,~>-, l ~'a 1 ~xwchvrz~ dFS,~h
CK# (00) aEFts*rjT yV
ID#
JiZVIr7TUnE PR-)nT"q5 CV 1CVU4VAES

ID# Cvvuer Sfi ~~'~ r~FS s JS~S


1133 N CPVrzr R~
CK#
4-A11S FigjAA)&L.Jb r.
ID#
-T-72 )-IT FIbInc-14L M ; E 15 4/Ul pPs76G t 2.S~o. I
-~~ CK# 2199 rY .J E~FE Ian

ID# ~h 07,.r1 ~9~1R ,~~7H 1 ypI' )1 ~S


S-4 - VS" CK# ) 13 10P~1_1W41W JOR

SUB-TOTAL $
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:


Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i).)

Page -~ of - 2--

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM ,Keset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 07/03)
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 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

SC)_'--sj/_v
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# 1~~I__ __
fi~'
p, ._p cK# E. 8A01IJ>~7 $ ZY' y U
Ap-ion7ch ~L .
ID# 7,_V t-7 -TA pmpSP)l
3~
1!ti
r 4-)72 ` )LF ~y2. yIJ~47 'iC
CK# ~q
8~1Q4~ 32-Sf
ID#

CK#

ID#

CK#

ID#

CK#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $2
'

1 $329)-14
TOTAL (if last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to personstentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i) .)

(for Schedule B)

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