Peterson Judith - 1538 - Scanned
Peterson Judith - 1538 - Scanned
DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 11/97) REPORT
rT ,
COLR4 ,T,E
..~E NAME (M e same as o tatement of Organization) Comm. # W
lr.P/I P.lSO N ~u r ~,OJG Index
Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
( 1 )Statewide/Legislative Candidat ewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC (q )Ballot Issu ;ommittee ( 7 )County/City Central Committee
( 8 )Sypp:~t Slate Cao id)*
Z- 773 - ) V
SIGNAT RE "ITTWSUNER-fsfperson filing this report) TELEPHONE -
Penalties Due For Late Filed Reports Range from $10 to $400
[]CHECK IF AMENDMENT TO REPORT DATED ,' `4 \1 Local Committees, enter Date of Election
0 Check if this is final (termination) report and attach Notice County & Local Committees, enter County
which Election is held
(You must continue to file reports until a Notice
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . ....... ....... .. ....... ......... ............................ ........................... ..................$, U 91 & t
UNPAID BILLS (From Schedule D - Attach Schedule D) ............ .. ................. ....... .... ................. ....... .$
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
STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IDENTIFICATION
DISCLOSURE BOARD. IOWA ETHICS AND CAMPAIGN
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER _ - INCOME
ID#
t'valn,C, ~ rdr~,
$
lq/o~ CK# ~~
$
a 45t
I sA
ID#
o P-1 14
01 9 10 CK# 434q S . Q0VI-5+
0
ID#
L, :)ov WvUi6WLS
ID#
CK# SU
ID#
r
I 1
~~31 cK# %i 3t5 l S 1~ O
ID# A11 4 Y u.e,
/(~oN CK#
ID# d'w
)t s' -
CK# r3~~ 3S- 'r
lD#
cK# a
ID#
(ol K~ ~~~ ~- l,s-bovCwuuc~1 ,, c
CK# oig S,
ef
*a ~ I QA~L 04 1eq
el
CK# NW .
~~ N4u¢s 4))
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) . If surname of contributor is the same as candidate, but there is no P ~
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
ForInstructions, See Back of Form SCHEDULE
t7~ 4V Y o
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDD/YR) AND PAC CHECK (d applicable) RAISER
'T
NUMBER INCOME
c/6 L, j
$
w
D# 10~qw I il P (,-
yea
lD#
/Sr CK#
ID#
cK# 0
Ira
CK# ..
G~- ~J4
ID#
Y
i AL GA Y
cK# ~~~~
Y,
~ NINe I
0,5
Lq CK#
ID#
3 .
S&4*-W%1
yhl l"rvA,.
Zs 0
WA~ ID# cK# o S3
~ IV CU
~
Dv'N-e ',
Wdvnr5 tjJ~'"
CK# V~ LUY11~n .'wlb `S
ffm t Gc 4
1D# K)
OW -7 4&
CK# 3; S Ct r,Ka 'e
I ~ v CG,
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) . 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
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
U,v
01Q
X/1 U50N -
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
0
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
CK# s $1Cn~
u
ID#
CK#
Z4*e-
cK#
3
ID#
CK# im",,
v ~'~''"'
~ , _ _
w
ID#
f'v"Wdc uvd bow-
CK# l Z'3 ~-&tks lw
O
1414 ~L
lD#
CT ~v
v
CK# l ?? 1 -f
1w-
ID# avr. "
(,'t IN
CK# 1S 4--U
lit
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) . 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
Reset Feztn 1
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(including candidate's personal funds)
CHECK THIS BOX IF
CO ITTEE NAME (M same as on tement of Organization) AMENDING FORM
k~ 12
-'
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 1 )~ I WtQS~
WI
v,,Ot Z4
-
ID#
CK#
LE CK#
ID#
"I
luMoities
ba,3, ~iK
-
e
0
CK# ~
~S~w nnli~ie (c1
M
CK#
warAzt Z-5 Lj
y0~
ID # W
~=f-'j
, bw-r s 0
VI
CK# Moatc 10 e~u tSl
CPI
1D#
CK#
vaf~-j
-t"44~Z
CIO
k 11
a 0
tv G, 0
CK# Azrwl
tL IA' r4 5- -j
' Disclosure lawrequires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree 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
~t
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 infomtation 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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
F/I ID#
h
MCK#
- ice bahK~L _
Q, ^ V4 0
d;
E]
aM,a
CK# 'N c%k
WAX
CK# -7 E:1
WA
N i W~
1o# t Ov QhAl
CK# 3u 3W S L,~ ".
.,
lod~ f
F
I rv rt--1#W. X4711= Sux .C -
CK# K1
`n
I D# vw
ID#
CK# Vi s a P,
' 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) . 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
Rust Form 1
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (ust be same al~on Statement of Organization) AMENDING FORM
l~, N
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 d IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
W
CK# ~~ S*p~'~N
I D#
CK# / 0
40 w ~L aG
nu
Ito CK#
1i
CK#
-_ . .
Z
ID# _
~f,t
p~ .
CK# Z107 A44W Q
Disclosure law requires candidate committees to disclose the relationship of arty relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . ff sumame 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
Reseform
SCHEDULE
STATE CANDIDATES NOTE: IF ACONTRIBUTION 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
'ID#
CK# ? 7 3 r"~
ID#
33017 "40111C'611C-- V/ (o
CK# atiac V V
LIN , E:1
ID#
CK#
~~~ vas !z3
y hw7~
Cos
x El
ID#
4e,
CK#
~
WA L
ID#
rmiI
CK# 3 G~ev 'U
ID#
~ r l ~ ~. ..
CK#
WA;
i~
0
ID#
CK#
c
a
ID#
E-01
~~yN
ICK# ~w
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) . 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
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
CO IltE NAME Must bye sa on State7t of O nization1 AMENDING FORM
P~ QNSa v
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
ID#
OV
I U~ U CK#
w
lU 1~ ~ ~ q~o73 ~ i Ilu~
`ta *4 . 0
ID#
0U Get
cK#
T Z~1a~ ~~-
ID#
~6 OA_ d, ICU
CK# I~5
y
" P~
CK# ~O z5
i
ID#
U h. ec f l~Z
CK#
iD#
CK#
ID#
CK#
ID#
CK#
ID#
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) . If sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . jr Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Rest F SCHEDULE
D
(Rev . 07103) 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 .
_7/
NUMBER
~T(
o $
~ f I( I
~ d
io# 8
6
r
~ i r ~ ° >ti.1
CK#
I°#
CK#
- ~ o
/ CK#
1Jos
"
1 3Z
CK#
of
cv O~ Z',9- e
~
d-tr
CK# ~-
SUB-TOTAL $ 1,
TOTAL (If last page of this schedule) $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Re(er 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 68A .402(3)(i).)
Page Of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM 1 -Reset Form SCHEDULE
~l3"1 CK# $ AS
y
CK#
1D#
CK#
ID#
f v, ,,,~ 11~.~Ila les t C a~ lh, ~v n
CK#
jori ~~ y3
CK# Z
- c~ . Cv` ~-t Z9- Cc~o~
CK#
IVA
U, Jo VAM
I
ID#
vy~i W~v I d. C'A 4K- v
CK#
1
~ ~ v NpC . C1,
ID#
WYa A-,4, t, YiY~r1t
Gt'+ CK# 1
SUB-TOTAL $ ~~ 7J
Expenditures to personsientities 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 68AA02(3)(i) .)
Page
4
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form
SCHEDULE
~la CGr )e
CANDIDATE NAME AND AI3DRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
C4& j>
NUMBER
o G3h12 4~_e.,
~
l IJ~
CK#
V4
~ys )C
CK#
D# .11
9
0Z 40,
Or0~dl Ccr.~' d VJ
CK# D*,
ID#
~21~0~/C~ ry+~~ B y Z7
~~lro CK#
CK# v
ID#
SAk r 10Z
l~ n
CK#
Z2 *7
lD I~ CK#
llU~
- _
SUB-TOTAL $ 9 llt~
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 behad of the candidate's committee . (Refer to
Schedule G instructions and lows Code 68A.402(3)(i) .)
Page Of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
iv~
ID#
P0L46 rd PY'1' 4 P" jv~*rj 'Ct0wtjwyjV
CK#
Alyw
ID#
eOVA 6J , Pri - Cd Nti~d4/'
CK# All Pr 1
r,\,
yw
ID#
C~a wL ~~ u ~~lr~~~
CK# y
ID#
r C4In"Iatlw -111JAwisi
CK#
%dam .O~q 9-
ID#
~e t~ .S- pa-,~' .
CK# 37 ~'
ID#
CK#
ID#
CK#
SUB-TOTAL 1 $
1z53V
TOTAL (if last page of this schedule)
F~
Purchasesof certain campaign property oostirg $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entifes 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 persoNentity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .) _
(for Schedule B)