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SIG TIRE OF PERSON ILING REPORT TELEPHONE DATE SIGNED
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 686 .32A(B), laws Code . Prohibits the use of Information copied from reports and statements for Wicibng contributions or
for any commercial purpose by any person other than statutory polalcal commtMes .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDO/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID# IrIP-ckt K bcj" ~E
9 ve I~CL0 a
CK# ' I1 $ o 0
IDW °
CK#
ID#
CK#
ID#
CK#
ID#
CK#
IDA
CK#
ID#
CK#
ID#
CK#
ID#
CK#
CK#
SUB-TOTAL
S
TOTAL (if last page of this schaduls)
77
' Olsdosure le-w requires candidate cornmittees to disclose the relationship of any relative making a eontrlbution to the
committee Rotaeonship must be shown to the third degree of ooneanquinity (blood relobves) end gMnity, (relattose by
mamege) . If surname of contributor Lathe same as candidate. but there is no Page -~ of -/____
familial relationship, enter'not applicable' in the relationship column. (A ahedulo A)
PAGE 33
5417923711 DOH&SHAROH IRELAh4
131 :' 05i 243175 14 : 23
t
iilMMITTEE NAME (Must become as on St foment of Organizatlon)
CANDIDATE
E !° c f
NAME AND ADDRESS TO WHOM
,1 i~ I ,,
PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Dlsbursamenf) WAS MADE
(MMIDOIYR) AND PAC
CHECK
NUMBER
ID#
Kn~ahC'~~5I Di~pc~sa~
9M
CK# ka r
~I $ 100
D
ID# 01r
"
n
11 U Cl ,l Yte, . w 1
. o r-r . Q-#1 99,,~ (~
_ vl°~
CK
70 Js
PI O ,box 11-
A - ,
7 0~
s i K~.
ID#
l401 v~ r
S~kr
hs
4erprf
r
CK# ~7y N Dtr _ A4I . (~ 0
V
w rr _ '~/1
U ID#
kra) IuwrL Cris is ~~Q e
A060 k 3 ~- 4 C"~I d
cK
d l D 01 Coo lY Cc OLA, . t- 17 .9 .2
r
ID#
CK#
ID#
CK#
ID#
CK#
I D#
CK#
SUB-TOTAL $
Purchases of certain campaign property costing $600 or moue MUM also be inventoried on Schedule H. (Refer to Schedule H Instructions .)
Expenditures to peroons/entibea providing consulting, advertising, fund-raising, polling, managing, organizing services must also be d4ail Itamlzod on
Schedule G by the amount, purpose. and date of each type of expenditure made by the persoNentlty on behalf of the candidate's committee. (Refer to
Sche dule O Instructions end Iowa Code 68AA02(3)(i) .)-
(for Schedule B)