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DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01198) REPORT
biz-P1?5'_390.2 6 - O..J
SIGN URE OF TREASURER (or person fling this report) TELEPHONE DATE SIGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . .. .. .. .. . . . . . .. .. . .. . .. . . ..... . . .. .. .. .. .. . . . .. .. .. .. . . . .... ...... .. .. .. .. ........ .. ........ . ... . . . .. .. . .$
Page 1 0 C3
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
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 V IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
~r~t.t ~1/e5tern
5~31~p 5 CK# ,2/t7U dmmerCe Re-C) DQ-KZ`.~
ID# ~~ We_jt~erri DcAk.
~l30~oS CK# 2100 w~mPNLae r Ped Oak .~7 ED
ID#
CK# 0
CK#
ID#
CK#
a
ID#
CK#
ID#
CK#
ID#
CK#
_
ID#
CK#
ID#
CK#
SUB-TOTAL
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
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For . . SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(including candidate's personal funds)
[]/ CHECK THIS BOX IF
NAME (Must be same as on Statement of Organization) AMENDING FORM
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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
C1 _ 31,6)5 ID#
CK#
Greai We5 Ee-rn baw k
z i oo t?,mmerce-
-
eede a k, , M
$ F-1
ID#
o - 2 8 -06 'L t v i7
CK# :, 17,<
ID#
CK#
C rea t we5te_rrt
2104) Co st m c? r^c- Z
+.
-rA
1 -7 0
E-1
ID#
05-v1-O 5 11
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
CK#
' 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 2 of _
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
UI~i3~~S
'
ID#
5th Z1s4 R<~p Gtlu"en
.
~pS'Sere~~G~
CK# l6)3 7 '05 4"vtCod k~ $ D.UU
jeutA De - eLt CrCS " T
I D#
' i .'.i^~P7 L .Ljti! S SOS C'Lu ~5 r 7
CK# ~a ~' Fig rrrz yuf to I')-te~~ b er
silt
ID#
d~I~foS
,~isf hl~lrn~.~ disk `vs &U.s ~, 1/S
CK# log Ri.f-h Darett'
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK# i
I D#
CK#
SUB-TOTAL $
3
TOTAL (if lastpage of this schedule) $
9. 5
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)