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FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev_ 0712004) REPORT
COMMITTEE NAME (Must be same as on Statementof Organization)
For Office klseOnhf
Comm . #
IMPORTANT: Indicate by #type or oornmife youare reporting toil. Logged In
( 1 )StatewidelLegistativeiJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
(4 )County Central Conenittee ( 5 )County Candidate (6 )City Candidate ( 7 )School Board or Other Political
Sutbdivision Cw didate (8)County PAC (3 )CityPAC ( 10 )School Board or Other Political Subdivision PAC Computer
11 ) Looal Beat Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political P`rty (if applicable)

Office Sought District (if Senate or House)

Late reports are subject to possible civil and criminal penalties.

o
SIGNATURE O PERSON FILING REPORT TELEPHONE DATE

1)r,&
IAMFILINGA _~ t'r . ~Y to
I
(reportdate)

JAN 1 9 2006 Loci Committees, enter Date of Election


[NCHECK IF AMENDMENT TO REPORT DATED OAA
1 " 1 " Dto
Chedc if this is final (temtination) report and attach Notice of Disso County & Local Committees, enterCounty in
(You must continue to file reports until a DR-3 is filed .) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds 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.) ............. _............. _..______ ....... $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind bellow) ..............
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.._ ..._ .-_.$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loansbelow) .........
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) _______.____________ ... ..... ..... ..... ......... .. .. . ., .. ., ... ...__..__..__..___ .......___________ ._ ._____.___ ._____ $ St`1 .~ s
**UNPAID BILLS (From Schedule D -Attach Schedule D) .. ..... ..... .... . .... ..... ..... ......... .. . .... .., . ..._ .. ..., ..
*IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) .......... ............... ..... ..... .... . .... ..... ...... .. $ NIG'vs~-
-OUTSTANDING LOANS (From Schedule F -Attach Schedule F) .... .............................. ......... . .... ..... . .......$
CONSULTANT BREAKDOWN (Schedule GAttached?)
WA YES NO
CANDIDATE COSIMfTTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
STATE COMMITTEES : Subrr ilt a reconciled campaign account bank statement in January of each year .
,nstructions, See Back of Form SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07103) 1 RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as oil Statement of Organization) AMENDING FORM

A',''v 113 t ~rtl


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/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

/ $ Go . c1-D
fc~-
I 3 J~a/vs cK# St .

ID#
Jc-hr\, N-It -1 , . .

50J5(o `
ID# ~'~
Y r~ ~,`L iA t3 ~ ~ .llArLC
1-4 43 ~~t~ :~
-
I 0 /JJ0 CK# SO . J~ El

-TA SOb3~
ID#
.o i ~ R
CK# I~ - (&-t- Sbau .,, r i.91 H- So,cr~ ;
e 1A Sta03 (o

CK# ttt s~ 5+ . -J1 pt -so.ur)


oowz :Ll~

o
E~ UZ) :~ (o
I D#

CK#

ID#

CK# )q-151 W~-tcdA 0 . 1 Ail 1~


6p,.,-&E 'D~ ---
.- I D#
kp-ti~"
CK# Z,5"2, ",/ f
10%A
B Oo'xu2 .1f} ti?5 .~ 10
ID# ~,
l a ~JG ~os
CK#

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 thied 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 felationship, enter "not applicable" in the relationship column . (for Schedule A)
I
.Aructions, See Back of Form SCHEDULE
Reset Fomn
A MONETARY
JNTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds) -
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as oo Statement of Organization) AMENDING FORM

}-- 3

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 olther 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-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

CK#

CK# et
L~ QO-rs1 Sb~L3b
ID#
CK#
goawt -UA
,^
-
-b "I(0
Q
jfjq

CK#
ID#

CK# I~E
ID#

CK#

ID#

CK#
I
ID#
j
CK#
_ - --
ID#
CK#
1 =
SUB-TOTAL

TOTAL (iflast page of this schedule)

x 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 sarrae 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 Reset Form SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D 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 art Statement of Organization)


~ ~V-
E1411 f El . . -. ti 9 11
v1.~ 1.8a I,"111na,%
,
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER

tr l ID#

CK# 1J.4 -5-t-ceI'i . /Ste -,a .. v, $ l50 -6t


~c ~ ~A 5c~o3~
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $
TOTAL (iflast page of this schedule) $ ( .5~~

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.4012(3)(i).)

(for Schedule B)

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