FOR INSTRUCTIONS .

SEE BACK O< <ORM FORM

Ix ffW S DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

JAN 2 3 2002 For Office Use Oniv

COMMITTEE NAME (Must be same as on Statement of Organiz~Ion) Comm . It
HARPER FOR SENATE 1clot Indexed _~--
Audited `
V
IMPORTANT: Indicate type of committee you are reporting for: Fil
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates
319 235-1668 1/19/02
SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

~.oG 1i
I AM FILING A January 19 report REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

El 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 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.) .. .. .. .. ....... .. .. ...... .. .. .. .. .... ......... .. .. .... .. .. .. ..... . . ..... .. ..$ 40 .20
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) .. .. .. .. . . .. ... . .. . . .. . ...... .. ..... .. .. 2,240 .24
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...... $ 2,280 .44
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) .. ... .. . . . .. .. .. ..... .... .. .. .. ... .. . . . . .. .. .. .. .. .. .. .... . 275-44
Schedule F: Loan Repayments total (Attach Schedule F) . ............ .... .. .. .. ... .. . . .. .... .. .. .. .. .. .. .. .

CASH ON HAND at the end of this reporting period (if final report, balance mu t
be zero) (Attach DR -3) .. .. ... .. .. .. . . . .. .. .. .. .. . . .. .. ..... .. .. .. .. .. ... .. .. .. ..... .. ... .... .. . . . . .. .. . . .. .. .. .. .. ~.. .. .. .. .$ 2 ,-005 - nn

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) $

 MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev .02198) RECEIPTS
(thck4ing candidate's personal fun
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement ofOrganization) AMENDING FORM
HARPER FOR SENATE

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 UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(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 polidcW commitoees.

DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT

RECEIVED (8 appliable) TO CANDIDATE' RECEIVED
(MMIDDIYR) AND PAC CHECK (if apple)
NUMBER .
IDS
±6/6/01 Patricia Harper Candidate $ 193 .56
CK# 3336 Santa Maria Dr .
Waterloo TA -,Q7Q9.
IDS
7/1/01 John Deere Cor^munity Credit Union Interest
C" 1827 Ansborough Ave . .24
Waterloo IA 50704
IDS
10/1/O1 Same Interest .63
CKN

10/26/0- 11)# 6067 Iowa Health PAC 200 .00

' 6750 Westown Parkway
CAC# West Des Moines IA 50266

11/27/01 ID# , David Palmer 100 .00

213 SW Flynn Drive
CK# Ankeny IA 50021-

11/30/01 ID# Gerald Schnepf 25 .00

-- 4012 Crestmoor Place
CK# 1KKKNKKK DesMoines IA 50310

i2/4/01 ID# Amy Campbell Fleming 50 .00

. 2125 -48th Et .
DesMoines IA 50310
IDS
' Br ice Oakley I 50 .00
CK# 418 - 38th Place -~
Des Moines IA 50312
ID#
Carlos Jayne 25 .00
CK# 3523 SW 37th St .
Des Moines IA 50321-1839
ID#
Jodi Tomlonovic 30 .00
CAL# 1245 - 40th St .
DesMoines IA 50311
SUB-TOTAL
a 674 .43
TOTAL (If last page of this schedule)
S
Oisdosure law requires candidate conmllueas to dhdose the rolatiorghhlp of any roydve making a contribution to the
by
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives t 3
Page 1
r. .-:m .ge) (baj ?age 2 of fornns pa-ceL) . If surname of contributor is to aSme as candidate . but there is no - Go - - ,
(for Schedule A)
familial relationship . enter 'not applicable" in the relationship column.
 A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . ~2I98) RECEIPTS
(including candidate's personal tun
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement o!Organization) AMENDING FORM
'ARPER FOR SENATE

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACT10N COMMITTEE). USTTHE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 6aB.32A(S). Iowa Code. prohibits the use of infomlation copied from reports and statements for soliciting contributions o1
for any conlrrerclai purpose by any person other than statutory polida! conveittses.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT

RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MMIDDJYR) AND PAC CHECK (if applicable)
NUMBER .
11]#
1 12/4/01 Linda Goeldner 30 .0
$
CKO 4038 Kingman Blvd .
DesMoines IA 50311
100
Mona Bona 25 :0
CK0 2818 West 1st St .
Ankeny IA 50021

6356 Freedom Fund PAC 50 .0

CK# 851 - 19th St .
~ DesMoines IA 50314
ID#
6058 ICSPolitical Action Committee 100 .0
CK# 1605 N . Ankeny Blvd ., Suite 100
Ankeny IA 50021-4159
ID# , 6070 Iowa Lawpac 100 .0
521 East Locust St ., 3rd Floor
CK# DesMoines IA 5
.0309-1939
ID# 6118 Iowa Optometric Association PAC 150. .C
1454 - 30th St ., Suite 204
CK# West DesMoines IA 50266
ID# 208 .1
Patricia Harper Candidate
. 3336 Santa Maria Drive "
Waterloo IA 50702
ID#
12/7/01 ± Craig Neilsen 100^ .(
CK# Ameristar Casino Council Bluffs ~nc .
2200 River Road, Council Bluffs A 51501
ID#
.6073 Iowa Medical PAC 100 .
1001 Grand Ave . ~ nrr~' r
CK#
West DesMoines IA *0265-3502
ID#
Judi Hoffman 25 .(
CK# 3820 Quebec St .
Amts IA 50014

lk WOn VflC. _AT" SUB-TOTAL

$ 988 .32
TOTAL (if last page of this schedule)
3
' Disclosure law requires candidate committees to disclose the robtionphip of any Matim making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and a" (relatives by 2 3
Page 0 _
r..- .m .ge) (baj Page 2 of forms pa-*eL). If surname of contributor to tip same as candidate . but there is no
(for Schedule A)
familiti relationship, enter 'not applicable' in the relationship column .
 A - -~ MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . 02196) RECEIPTS
(including Candidate's personal tun
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

HARPER FOR SENATE

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLI11CAL ACTION COMMITTEE) . UST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 888.32A(8), Iowa Code, protubits the use of information copied from reports and statements for soliciting contributions or
for any conrnsrdsl purpose by any person otherthan statutory polit)al commMms.

DATE PAC ID NUMBER NAME ANDADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT

RECENED (if appapble) TO CANDIDATE' RECEIVED
(MMIDDJYR) AND PAC CHECK (if applicable)
NUMBER
11
12/8/01 6125 Iowa Realtors PAC ' S 100 .00
CM 1370 NW 114th St ., #100
Clive IA 50325
ID:*
12/31/01 Patricia Harper ( Candidate 477 .49
C" 3336 Santa Maria Dr .
Waterloo IA 50702
IDS

CKM

IDS

CKS

ID#

CK#

CKS

IDN '

CW

IDE I

;' CK#

IDS

CK0

ID#

CK#

SUB-TOTAL
577 .4
a
. TOTAL (if last page of, this schedule) $ 2 , 240 .2
~' _
Disclosure law requires candidate committees to disclose the reiadorqhlp of any relative maiurq a contribution to the
Committee. Reiationahip must be shown to the third degree of consanguinity (blood relatives) and a" (relatives by 3 ®:' ,3
Page
r. . :rtir ge) (loo.) ?age 2 of forms pa-ceL) . If surname of contributor its th same as candidate. but there is no
(for Schedule A)
familial relationship . enter 'not applicable' in the relationship column.
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev .08196) I EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA
0 CHECK THIS BOX IF
AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

HARPER FOR SENATE

DATE
EXPENDED
CANDIDATE
ID NUMBER
(If applicable)
NAME AND ADDRESS TO WHOM
EXPENDITURE
(Disbursement) WAS MADE
PURPOSE
(DESCRIBE
TRANSACTION)
I CATEGORY'
(SEE BEL01l1n
AMOUNT
EXPENDED

(MM/DDIYR) AND PAC

CHECK NUMBER

12/19/0 6'D# Union Planters Bank Maintenance Fed 1 28 .76

thru National Drive and
3/19/01 CK# Ridgeway, Waterloo IA 50701

11/23/0 ID# Kin'io' s Envelopes 1 .72

2800 Opryland Dr .
CK# Nashville TN 37214-12 97 1

ID# .64
11/25/0 1 OFFICEMAX Envelopes 1
CK# 1210 Flammang Dr .
Waterloo IA 50702

11/23/q 1D# Post Office Stamps 1 24 .50

300 Sycamore St .
CK#
Waterloo IA 50703
ID# Food. for 1 208 .32
12/4/0 Hotel Fort DesMoines
1000 Walnut St . Fundraiser
CK# DesMoines IA 50309

12/5/0 1ID# Ben Franklin Thank you 6 .40

Ridgeway Plaza Cards
CK# Waterloo IA 50701

12/A/0 ID# Post Office Stamps 1± 5 .10

300, Sycamore St .
CK# Waterloo IA 50703

SUB-TOTAL /$
TOTAL (If last page of MIS schedule) $ 1 275 .44

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

'Campaign funds may be used only for
(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office .
Please insert the applicable number in the category column for each expenditure.

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 56.6(3)(i).)

Page of

(for Schedule B)