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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE JAN 2 4 2002
(Rev. 01/98) REPORT

For Office Use Only


COMMITTEE NAME (Must be same as on Statement of Organiz Comm . x 1 Z-(43
Indexed
Audited
IMPORTANT: Indicate type of committee you are reporting for: Computer ~~ t
( )StatewideiLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
1
( )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
5
( 8 )Support Slate of Candidates

7~a-s89-3S~ ZZO /0 :Z
SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIG D

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

SEE INSTRUCTIONS ON BA CK AND COMPLETE THE FOLLOWING SENTENCE:


I AM FILING A '2fQ (.(Q r V 2- -2 , aQ0,;1, 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

0 Check if this is final (termination) report and attach Notice of Dissolution Forth DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

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.) ................. ........................... .... !. .. .. ..$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ..................... .. ....... ............ .. ..... 17-5--
Schedule F: Loans Received total (Attach Schedule F) ........................... .. ............... .. .... .....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .... ............... .. .. .......... .
(Schedule H aoolie s to Candidates' Committees Only)
SUB-TOTAL......$ 3 2- 3,. t

SUBTRACT TOTAL MONEY SPENT THIS PERIOD


Schedule B: Expenditures total ( Attach Schedule B ) .... .. ...... .. .. .. .. .. ... "t
A Al 1)
... .... ................... ....... 3 23f
o-o
Schedule F: Loan Repayments total (Attach Schedule F) ....... .................. ............... .. .........

CASH ON HAND at the end of this reporting period (if final report, balance must
r.
be zero) (Attach DR-3) . . . ... .. . .. ... .. ...... ....... .. .. .. .. ....... ....... .... .. .. .. .. .. .. .. .. ... . ... .`.'., ...... .. .. ............
.$

UNPAID BILLS (From Schedule D - Attach Schedule D) . .. ..... .. ..... 6, .. .. .f ~S . . .6 . .~---- ---------- $
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) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. OW97) RECEIPTS
(lndudlng candldste's personal hxtds)
CHECK THIS BOX IF
)MMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

N F `4~+-J-e RPfl rese rl f l i y 4--

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 ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 686.32A(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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# C 0-P morAL
Cp kw~y

X9-0
w
hi n(0
. ~w~
ID#
Pft 6 & Go, 0 P rn , CPn
/0
/10
CK#
75, vo
ID#
F1 hSl F,PdPKc~ zf C~rl p _
Lal CK#
C(art~ ~Vt l-PrPsl'
ID#

CK#

ID#

CK#

ID#

CK#

lD#

CK#

ID#

CK#

ID#

CK#

ID#

CK#
i
SUB-TOTAL

TOTAL (if last page of this


schedule)
_-rsclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:~)mmrllee Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) ft 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 /NSTRUCT/UNS . Sf=E BACK OF FORM SCHEDULE
MONETARY I
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev 09197) 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 3 CAMPAIGN DISCLOSURE BOARD

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

_ _i N ", L! 4 t-e R-e i-es p n fa l? v-Q


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) ' EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
I D#
-1-0m Fine
ill(o f® I CK# .K, r~ P b-f-
Q
-Tom C. Lr'
R RD OYFc/!; he T_ /I -- (L4s~d
P 7-iiTi7." ti+
iD#
+-0 KMA)
pay
cK#

r 009 W10
6RP+flo t/!LL" r2 peb
ID#
-ro VVI 0e- AC-COL4",_~ ~I l

O
410

CK,# ~'
/-vrZ up
De b~-
g Rt+ooyvl LLC'~A . yin l <MA
I D# J

CK#

CK#

ID#

C K#

ID#

CK#

1D#

CK#
- _ , 6C1 SUB-TOTAL $
S as 3 3
TOTff~(Jf last page of this schedule) $ ao

-T V&A VA(Qc~ c:4 ~


THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing S500 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

(for Schedule B)
FQR INSTf3UCT10NS, SEE aACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Stntwrrart of OrWLzadon) (Rev . 013/99 INDEBTEDNESS
l-4
1INE FOA Siaf e
- RP g2 r Leil ~iIle CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period.

An "incurred debt is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F)
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

Pj+1 b 7 3. q8
_T Fi n e_
Apri 1
© / f3R 0 DD Y J1 L!_ C~ ~or riq S163 ( -f° t- _f~I I1 a I de b1'_ 73 :yE
C la ri #14. f01 ~ri kI r r Yl

Pp-1 D emajhd~F-
(O m F ne_ oa
3:59
ri

~ F "A-I KM~+ Radio


(3 radd Yvfrl~P/ ~mwl~

S/b 3) debt $~-323

~S coo
Joe Kir-f,i"er- Igro drvi/,~

~r d y ~1~ ~'f', ~wA S6


l 3I

v
w

SU&TOTAL $

27-M
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S

L qq7l-
r actual figure is unknown, show "estimated" beside the figure . Page .1 _ of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing,
or organizing services . Report on Schedule G the nature of perf ormance and the estimated performance reasonably expected of the consultant .
S u r~+~Y
N 22) 2eoZ

wo~~ 11 ke 4`,,, C(,,II ".//n


C~-Srf 0AJ gjA)0 iS ~lY7,S9 of Sfarf of rP~or-din
7. as pes - ~i S l,j
P r io Y, c4 P -l-c"i t, cps rel.,
o r fe

eomw,i lI Pe is bro k~ _ ~lavr fo run -~o r--

S~'cz fe r ~~ re s,,Yr l -~c f~ v`e Ih 2tid W/ -// .~ f" 7t


v-q '

e -f, ilk

lh,9-A,x rcl -(

otISO cc)pjecf

ah4 serf l scWq/v


(,, (,-a d/Y 4~; 1,4 f r~~ ~«s l
FOR,!'NSTUC770MS, SEE BACK OF FORM SCHEDULEI
D INCURRED
COMMRTEE NAME (Moat6e same as on Stafsamnt dorprgzaoon) (Rev . 8 INDEBTEDNESS
71
INE FOR STATE REP . CHECK THIS BOX
v,
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be inducted on `°' FORM
Schedule, as wag as any new obligations incurred in this period.

APR 1 9 Zp02
An "incurred debt- is a debt for
DEBTS/OBLIGATIONS REMAINING THIS REPORTING-PE IOD goods or services ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDUfE F)
end of the reporting period .,
regardless of whether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON - SERVICES PROVIDED OR CLOSE OF
(MWDD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD"

4/01/00 Tom FIne Wagx pl3ar)Sub .


202 Spruce Villisca Review (21) $ 82 .50
Braddyville, Ia . 51631 Corning (18)
Bedford 18 .50
4/07/00 Tom Fine Sears Professional $28 .70
02 Spruce Photos
raddyville, Ia . 51631

5/23/00 Tom Fine paint for yard signs $13 .02


202 Spruce
Braddyvilee, Ia . 51631

6/16/00 Tom Fine PAC letters copied $8 .16


202 Spruce
Braddyville, Ia . 51631

Tom Fine
202 Spruce photos for campaign $8 .51
6/21/00 Braddyville, Ia . 51631 brochures

6/23/00 Tom Fine copies for fund raiser


202 Spruce $5"48
Braddyville, Ia . 51631

Tom Fine
6/29/00 roll of stamps for $33 .00
202 Spruce PAC letters
Braddyville, Ia . 51631

SUB-TOTAL $
179 .37

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

1I actual figure is unknown, show "estimated" beside the figure . Page 1 of


(for Schedule D)

ANDIDATE COMMITTEES NOTE:


icurred indebtedness also includes each person/entity with whom thecandidate's committee has entered into a contract during the reporting period for future
continuing performance. Enter the name of the consultant who provides or procures services for Items such as advertising, fund-raising, polling, managing,
organizing services. Report on Schedule G the nature of perfomunce and the estimated performance reasonably expected of the consultant .
FOR'1NSTRtlCTIONa SEESAt:
.X OF FORM SCHEDULE
D INCURRED
COMMMMTTEE NAME (Mart be some as on Statement of Orpw9zadon) (Rev . ) INDEBTEDNESS

FINE FOR STATE REP . _ CHECK THIS BOX


IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period.

Wad debt" is a debt for


DEBTS/OBUGATIONS REMAINING THIS REPORTING PERIOD or services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDYLE 5) d, but not paid for by the
the reporting period.,
as of whether an invoice
received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
' PERIOD'
. 3
7/1/00 Tom Fine parade candy (44 .93)
202 Spruce ._ parade fliers (14 .34 $62 .25
Braddyville, Ia . 51631 parade flags (2 .98)

anticipated mileage
7/14/00 Tom FIne reimbursement
202 Spruce 1,984 miles X.321 /2¢ $644 .80
...'_ Braddyvillel Ia . 51631 3 trips to Des Moines

'7/14/00 Tan Fine Hotel/Motel anticipated


202 Spruce reimbursementfor candida e
Braddyville, Ia . 51631 meetings in D.M.

4/9/00 (99 .68)'


4123lot;, 671 . !0$~

SUB-TOTAL
5 998-~9' 0 4
8'l .yl
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S

'If actual figure is unknown, show "estimated' beside the figure. Page 2 of
(for Schedule D

ANDIDATE COMMITTEES NOTE.


ricurred indebtedness also includes each persoNentity with whom the candidate's committee has entered into a contract during the reporting period for future
continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising. polling, managing,
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FOR INSTRUCTIONS, SEE BACK OF FORM

COMMITTEE NAME (Afust be same as on Statement or Orgianize0n)

me To-r Si-arc CHECK THIS BOX


ENDING
NOTE : Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obligations incurred in this period .

debt" is a debt tar


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD ices ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) not paid for by the
eporting period . .
of whether an invoice
has beenreceived.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

Teem Fir)e
7

OIL~~
A
ti~0)rI rL~ .

~ifL' oZ ,,
s)G )Ltc_C
__
~,~' v'
7 UGH
C."`~ LCic~CLL pct . <?~ ~ lG:' 3 /

wr1~ I/«-
N-P
~1G111,UI .
d 1a&& 61citi :) /G: ~

adG~

z-
L~AL
SUB-TOTAL S

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

actual figure is unknown, show "estimated' beside the figure . Page of


(for Schedule D)

IDIDATE COMMITTEES NOTE.


irred indebtedness also includes each personlentity with whom the candidate's committee has entered into a contract during the reporting period for future
~ntinuing performance . Enter the name of the consultant who provides of procures services for items such as advertising, fund-raising, polling. managing,
ganizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
~COlAMffTEE NAME (Moat be same as on Statement of OrgenLzadon) (Rev . ~YeD
. INDEBTEDNESS
7--
/- I'VE fDis ~ . - .;Ta T- 1- CHECK THIS BOX
AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this ORM
Schedule, as well as any new obligations incurred in this period .

An
curved debC is a debt for
DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD s or services ordered or
eived, but not paid for by the
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) d of the reporting period .,
regardless of whether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON- SERVICES PROVIDED OR CLOSE OF
(MMIDO/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

J6, j

niche s , 3,
=0;1 0 a 93q, /0
~G 7adia 7GaYI~i : rs, ,
~. mss. . ,l?" V7

SUB-TOTAL S
L

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S;

Page~-- of
'If actual figure is unknown , show "estimated" beside the figure .
a (f~ or Schedule Q)

CANDIDATE COMMITTEES NOTE : future


- Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for
or continuing performance . Enter the name of the consultant who provides or procures se Jcss for items such as advertising, fund-raising, polling, managing,
or organizi ng services Report on Schedule G the nature of performance and the estfmatt Qerfortnance reasonably expected of the consonant .
FOR 1NSTRUCT70NS SEE BACK OF FORM

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


.~ t'l l l r
~j LVL
!I4 ` 4e-
~ e P r-&-c' P .11 C_

NOTE: Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obligations incurred in this period.

t'is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD as ordered or
t paid for by the
(DO NOT INCLUDE LOANS- SHOW LOANS ON SCHEDULE F) rung period .,
regardless -& whether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
- --"~ PERIOD'

112 tl 1C X ~~~._----------__---'----- r G
,~

SUB-TOTAL $
crv

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD S _

. actual figure is unknown, show "estimated' beside the figure . Page ~ of


(for Schedule )

CANDIDATE COMMITTEES NOTE:


'Incurred indebtedness also includes each persoNentity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling. managing,
or organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FOR /NSrRUCT10V& SEE SACK OF FARM SCHEDULE
D INCURRED
(Rev . INDEBTEDNESS

D"CHECIC THIS BOX


IF AMENDING
FORM

An 'incurred debt" is a debt for


DEBTSIOSLIGATIONS REMAINING THIS REPORTING goods or services ordered or
re0.eiVed, but not paid for by the
(DO NOT INCLUDE LOANS - SHOW LOINS ON SCH end of the rsporrirtp period. .
regardless of whawu an invoice
has bean received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVK:ES PROVIDED OR CLOSE OF
(MMfDD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

Nou, j -o, P ne_ -:Z prx~~ A73,f8'

0(e,.4 t
~Rf-}dDYvfL~r G~arcn~rti Pt"inR~ -73. 49
oZ06D

IJou I foo vn F+ he 7r

r1

T om - pa icy ~i Via
o~
debt- fa kttA f,1vla
6 ,~ - ~2 3

SUB-TOTAL $

TOTAL DEBTS OWED BY COUWTTEE AT THE END OF THIS REPORTING PERIOD $

c3 9 "e f '7
'If actual figure is unknown, show 'estknated' bssxJe the figure . Page ---su- of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


" inn .rw+ i~.ra.i+wwe aim rohxfes each osrsoNentf with wham the candidals's committee has emend Into a contract during ft rspordng penod for future

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