ruff INSTRUCTIONS, SEE BACK OF FORM FORM

DR-2 cacw6
DISCLOSUK . SUMMARY PAGE (Raw . o2M) pEpbRT
FSr otrce Use Only
COMMITTEE NAME (Must be same as on Statement of OrpanizaWN Comm . e
mdwted
Audited
IMPORTANT: Indicate type of cornmittes yoU we report100 for.
Computer CL-
(11 )StatewidoWLegislauveCandidate (2 )Statswids PAC (3 )State Party (4)CountyA.ocsl CwWidais
(S )County PAC (6 )Ballot lsswWFranchiio CommiNss (7 )Gounty/lylty Csntral
8 )Support Slate of Candidates
st<
y`-C (319) !Ifir.-fil Q7
RE OF TREASURER (or person filing this report) TELEPHONE D TE S NEO

Penalties Due For Late Filed Repof Range from $10 to $4400
SEE INSTRUCTIONS ON BACKAND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A , G fi- REPORT FOR AWA (1) ELECTION t(Z)NOWELECTION YEA

.
(repo :aw)

[]CHECK IF AMENDMENT TO REPORT DATED Local Cornnuttees, eruer Date of Etttiypt)

.. .

Q Check if this is final (termination) report and attach Notice of Dissolution Form OR-3. County X Local Commiuses, safer C444 in
Which Ewclion is held
(You must continue to file reports until a Notice of Dissolution ii,W)

2 2 Z03Z ,q:~Y, STATEMENT OF CASK QN HAND

JAN
CASH ON HAND at the beginning of the reporting period. (This Is the totlil
of all monies held by the contrnittee . This amount MUST be Idle
same as the cash on hand at the end of the last repo" period,
or must be zero if this is first report filed .) ..................., ................................... . ... . .. . . . . ........ ..i
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash ContriWtions total (Attach Schedule A) .................................................
Schedule C: Fund-raising Events total (Attach Schedule C). . ...... .. ...... .:..............................
Schedule. F: Loans Received total (Attach Schedule F).......................,............................ ...
Schedule H: Total Sales of Campaign Property (Attach Scheduls H)
Schedule H a Ides to Candidates' Committses Onl
Sub-TOTAL _-i
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule 8: Expenditures WW Schedule 8) .. .......... .......... .,r, ........... .. ....:...
Schedule F: Loan RepaynW% total (Adacxt $chedule F) ............. .:. ...... . ............................

CASH ON HAND at the end of this reporting period (if final report, OAW fit
be zero) (Attach DR-3) . .. ... . .... . .... . ........... ...... ..... ..:...... ...,.... . ... ..: ., :. .  ...,......... .................... s
. ,

UNPAID BILLS (Front Schedule D - Attach Schedule 0) ........... . ..... . ...... .... .. ........ ..............................*
IN KIND CONTRIBUTIONS Attach Schedule Q ...... ... . .......... ....:..............,..........$
FFrom Scusdule E -

OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ...... . ..... ................... ...... ............i
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached YES
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule M)
For Instructions, See Back of Form
1
I
SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY Tw . ..:N IN
(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)

Q CHECK THIS BOX IF

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

DIG9 TAYLOR FQR $TAT S°~e~rmmTr~

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUIabER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMP"N
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

RECEIVED (it applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID#
8/6/01 8026 JBEW COPE
CK# 1125 15th ST . NW 5 1,000 .00
02829 Washington, DC 20005 --
ID#
6411 MCI IOWA PAC
707 17th ST .
9/28/01 CK41158
Denver,CO 80202 100 .00
ID#
6089 Operating Engineers Local 234
10/29/01 CK# 4880 -Hubbell
157 200 .00
Des Moines IA 50317
ID' -
Pass the Hat 15 .00
12/10/01 CK#
_
I D#

CK#

ID#

CK#

I D9

C K#

ID#

I D#

ID#

CK#

SU&TOTAL

TOTAL (if last page of this schedule)

5
' 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) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page ~- of
tamllial relationship, enter'not applicable' in the relationship column. (for Scliedule A)
 FOR INSTRUCTIONS, SEE BAC )F FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 02196) EXPENDITURES

r/
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) . +'

DISK TAYLOR FOR STATE REPRESENTATIVE

CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursemer;Q WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(htiwVD01YR) AND PAC 1,2,3)
CHECK NUMBER
I D#
JAN TAYLOR Newspaper
2/14/01
CK# 1049 2721 31st ST . SW Ad ( 1 $
710 .15
Cedar Rapids, IA 52404 Reim .
ID# -.
fill fill Photo

4/20/01 04050 Reim . (1 340 .51

ID# Gazette AD
"" "" Reim
6/26/01 CK# 1051 .' ( 1 363 .98

I D#
Doris Peick Reim .
8/7/01 CK#1052 708 Old Marion Road
( 1 ) 84 .00
Cedar Rapids, IA 52402 Postage
!D#
Jan Taylor Reim .
9/15/01 CK# 1053 ( 1) 568 .44; .
Copier Toner ; .

Doris Peick Reim

9/16/01 CK#
Postage (! 70 .00
1055
ID# Iowa's Women in Public Policy
F6rum _
PO Box 71142
9/27/01 CK# 1055 D es Moines IA 50325 Workshop ( 3) 125 * 00

SUB-TOTAL
262 .08
TOTAL (if last page of this schedule) $

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 pzrsonsientities 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 f3)
 FOR INSTRUCTIONS, SEE BAt )F FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 02d96) 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) _

DICK TAYLOR FOR STATE REPRESENTATIVE
CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (DisbursemenQ WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (If applicable) BELOW 8 ENTER
(&IlwVDD1YR) AND PAC 1,2,3)
CHECK NUMBER
ID#
Doris Peick
11/6/01 Reim .
CK# 1056 Postage (1 $ 96 .60

I014
Jan Taylor Reim .
11/9/01 ailing
CK# ( 1 ) 12 .90
1057 Labels i
ID#
Doris Peick eim .
12/8/01 CK# Postage 1 )
1058 , 34 .00

1014
Bank Service Charges 82 .95`
1/1/O1-
12/31/01 CK#

ID#

CK#

ID#

CK#

04

SUB-TOTAL $
2 .45
TOTAL (if last page ofthis schedule) $

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 expanses 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 personslentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemised on
Schedule G by the amount, purpose, and date of each type of expenditure made by the persoNentity on behalf of the candidate's committee. (Rotor to
Schcoule G instructions and Iowa Code 56 .6(3)(i) .)

Page -of ,-
,(for Schedule 0)