FOR INSTRUG770AM SEE it40C OF FORW

DR-2 1 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . Ogres) RKPORr

For QMvQh* Qyk

com. # --1 --.? -C\ -
indexed ,-.
Audited
Computer _--, -.-
I Wsw*idwtAq*A&Vw Cowidde (2)91mbW* PAC ('3)8W* P&V (4)C*wWLwA CwWWsb
iG )cm* PAO (f )s" ft"WWOVAN Comm" (I w0av coom"M Amamomm"M
( B)eupporl BWW d0wwddd&s*b*

penaMes Due For Late Red Reports 00go from $10 to 3400
80 INSTRUCTIONS ON PACK AND COMPLUE THE FOLLOWING SENTENCE".

AM FILING A j76 Zj Z3 Cj A I) ELECTION I(I)NON-ELECTION YFAR,

11w
I
(sport date) ~ J1N
--
ind1cote one
=1 - R-1- -.-.1
-- -1-7

I [3CHECK IF AMENDMENT TO RMRT DATED

5juift 8 Local Committees, enterCounty in

(3 Check If 06 Is final (tsminatio mW wid attach N which sedlon Is held
CYOU Met continue to Me aorta urn it Notice of 131*W!

STATEMENT OF CASH ON HAND

CASH ON HAND at to ba*%*jq of d* repodift period. (rhis 16 the total
'of all mar** held by Do committee. This owurd MUST be the
sow as on anh on hand at to end of the last taper period,
cc mud be ago 0 this Is *v! report 010.) .
.,
.1 ....... ....... ........ .

ADDTOTAL MONEY TAKEN i" THIS PEJUW

SdNM*Ae 014 041 Contributions Q! (Attach
&Sched .........
Schedule
C,, FundqWdng Events W(Attach Schodul ................ ........ .........
,
BdWul*F; Loans Received total (Aftch Schedule ................. ......
Schedule
Schedule H; Total Sales of CompaIgn Pworty ~ H) .................................
&*Wt" H agolles to Ca"dates' Camm!yj" ftfl
SUBWAL .0 w ~,gs- , q 7
P ' .1'- -,.IYI *". , ".'WAX .. a
suirmeT Tom MowspEwr THIS MEN00
total L,5-0 () ~o L) .
Wedule 8: Expenditures ~ Schedule 6}.. .,...,.,....:. :::,. . ... ..... .......................,..
Schedule
Schedule F; Loan Repaymnis, total vftoh F} .......:..:;.:.:..:,. ..,.<.. ... ............. .......
CASH ON HAND at the end of this mpo*v period Q1 final . relpti
be nM) ~DR-3)............... ................. ........ ............. .... ....

From . ... .. ....

-Attach SchedUe E) ........... .......... ...... ... . ...... .. ......... S
IN KIND CONTIUBUTIONS (From Schedule E
OUTSTANDING LOANS Tram Schedule F - Attach Schedule F) .... ................... ............... ... ... ........ S
bm6i -COWITTEMONLY:
CONSULTANT 6ROAKIDDOW (*h9duls 0 Attached?) YES NO
AC__ *,&.Aiia s4 . Aft*M
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT

B MONETARY
(Rev . 02/95) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE El CHECK THIS BOX Ic
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)

F1'' l e vt4 r d b b ( S ~-~Y r(.

CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENnr -
EXPENDED (if applicable) BELOW & ENTER
(MM/DDIYR) AND PAC 1,2,3)
CHECK NUMBER

J a,c,Kso n
g1 aI~ C o >~ ~ ~m ~ ~~ fs
t CK# r() 7
/Y\-~.~ Lw kQ- -k- / -77A S01-0 a-A
ID#

CK#

ID#

CK#

ID#

C K#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

$ /SOO bol
0

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 purpose 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 itemizes'
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 . ('-" .
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

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