FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE FORM

DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 05/2002) REPORT
1AAHASr=:'~ ^OI;'~T'iSc' ZEPliELiCA,N CENT ZAL CO1,~3v1ITTEE
For O ffice Use On ly

IMPORTANT: Indicate type of committee you are reporting for: Comm . #

Indexed
( 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 Audited
( 8 )Support Slate of Candidates Computer
CANDIDATE COMMITTEES '
ICs
Candidate Name

District (if Senate or House)

G Yl- X32 - .P.A0/ `-=/a'- o6

SIGNATURE OF TREASUR R (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 :
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one 1-1
[ErCHECK IF AMENDMENT TO REPORT DATED I ._ 1- o , F At., 5'-tv-e `f Local Committees, enter Date of Election
Sek~awk A
0 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 MUSS, 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 below) . . ... . .
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-TOTALS a0o X, $5
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . 1 f i
Schedule F: Loan Repayments total (Attach Schedule F) ... ... . .. . .. . . . . .. . . .. . .. ... . .. . .. . .. . .. . ... . .. .
CASH ON HAND at the end of this reporting period (if final report, balance must
?&q. 70
be zero) (Attach DR-3) .. . .. .. . .. . .. . .. . . . .. . .. .. . .. . . .. . . . . .. . ... . .. . ... . .. . .. . ... ... ... . .. ... . .. . .. . ... . . . ... . .. . . . . ... . $

**UNPAID BILLS (From Schedule D - Attach Schedule D . .. . .. . . .. . .. . .. . . .. . .. . ... ... ... ... . .. . .. . .. . .. . .. . . . . ... . . $
*IN KIND CONTRIBUTIONS (From Schedule E Attach Schedule E) .. . ... . . . .. . . .. . .. . ... .. . ... . .. ... . .. . .. . .. $
**OUTSTANDING LOANS (From Schedule F - ttach 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 MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
(Rev. 07103) I RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
MoL-1lasko- Cvttr%-+y Re pw-b 1d'ca ., (omm .`f4-e-e

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
-
I D#
1-J-1,- 04
C"cits 13u-e k 1J1 5h+
CK# CoCL~,+ y C r%ven+i'en 31rl- 10

1D#
3-17-uy Membp~sh ;Ps .`t N d2s.UU 5T .00
CK#

1D#
at
. -17-V'f
Co 4ee ~DortG+i rsn S
CK# (.~crive~z+i`ori SV
in ..tun+~(
I D#

3-17-o`t -DJS{- ri-c+ a S+af~

CK# 1600 . U0
- D ele date C4 e s
I D#
C'ar-rw-e r . Fee i+ s rHxA. -
3
CK# II ;xS KefA- live R . .1D
~1 on.u, . -ior~
N e w sh am . . TA Sc»-O7
I D#

CK#

I D#

CK#

I D#

C K#

I D#

CK#

I D#

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 third degre 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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 09/97) 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)

N -Cf'1Iv'iIT'rIL' -EE
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID#
III", us ?1,X
CK# _ .0 . r',.~, 5 0 $ l 00 f'.0

ID#
2/5/04 '= or.th hi ka 1rm
CK# .I Ver

1D#
1/? 6, 0 .4 t~skal .c~I^ea cstr...~st,:r p-_ail n c: ~ tic  s
G :~ a 1c , -. _ 5 . 7 Cc,o . C
xZ ~~}-1i_can Hdgt .rs .
n4 ID# C;,_-star
:,,--s
;Valcos,~ c, StTT, -~ t::! -r
CK# Osl" ai- " ~c~,, I~ . ,25'''7
z1
1?/0 ,I . ID# 13e1 uu } : ~ r~ r ~:: Ia . .14,ai
`l .1 DiGtri,^.t ./State

CK# Dos MM ciric'S, .f

)^^C

- - `=s
3 .-~ 22 :'t -I. ID# l- a } ocs .-i i-astmaster

CK# 031,7a Ic c-sa , -r . , 5? , ; -,

!D#

CK#

ID#

CK#

SUB-TOTAL $
TOTAL (if last page of this schedule) $ i_ 1 1 P . 15

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 56 .6(3)(i) .)

(for Schedule B)