Disclosure Summary Page DR-2: Penalties Due For Late Filed Reports Range From $10 To $400
Disclosure Summary Page DR-2: Penalties Due For Late Filed Reports Range From $10 To $400
I
FORM
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 11/97) REPORT
SIG E OF f0EASURER (or person filing this report) TELEPHONE DATE SI NED
Penalties Due For Late Filed Reports Range from $10 to $400
Z
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total Attach Schedule A Q
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . .. .. .. .. ...... .... .. .... . ...... .. ............. .. .................. ... . . . ....... .................. ........$.
UNPAID BILLS (From Schedule D - Attach Schedule D) .... ........ .. ...................... ....... ...... ............- .....$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ......... .. ... ........... .. .. .. ............... ...$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .................... ......... .... .. .......... ..... ...$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) NO
g~ $ 0
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
For Instructions, See Back of Form SCHEDULE
A MONETARY
_CONTRIBUTIONS - MONEY TAKEN IN (Rev .06/87) RECEIPTS
(Includ'Inp candidate's personal funds)
[] CHECK THIS BOX IF
COMMITTEE 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 688 .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# v
_
moo, FA $
D/ CK3~ i od
I .
pz ~G
ID#
CK#
6W
CK#
Z~~~ -78 7 ~~
CK#3h ~D A69X ~o ~-
"7~ 7 7S2~S
ID# E.o,/T, S- ~
xzF ,f1D. o~ 1/
TX 7~7~ i
ID#
/SOS
~l CK#
ID#
CK#
, ~ off/
~,l
t
,~ .~ o0
/ ID#
CK#
~v AW, -
SUB-TOTAL
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 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 10 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#
ID# ~,q
CK#
ID# /
Z2 7V
ID#
Cl CK#~~
CK#
ID# __
l Q/
lf~a
s
CK# 0 4~~'-~7~ 9v.E - .-?ate, d a
Z.~ d.~ ~"~ 6039
ID#
/~
CK#
ID#
~f~n L[ . C" J"E~4Jt~
Zzoz acv
o ,3 Q~E
CK# ~~ s~ ,/
ID#
7 1 aPi-!ice
~l CK# 3z'~ /f/~ oa
SUB-TOTAL $ O
551~5'"
TOTAL (if last page of this
schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
nmittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
mage) (See Page 2 of forms packet ) . It surname of contributor is the same as candidate, but there is no Page __ - --of
nilial relationship . enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
I CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) I RECEIPTS
(Including carldkhte's personal funds)
CHECK THIS BOX IF
COMMITTEE 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 UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 688 .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-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# dg> 1V6~4- °S~ ~I
~~®0~~~ ~~a ~da
CK# o0
CK#~~
/ ~fO.~IPS
5/
5
A 076 -r
A eo,oa
CK#
2/Z3
ID#
dam
CK# ho, 06
ID#
CK#
o~ ID# ~~~
'7
te_4:71 l ~Ta
COMMt1TEE NAME ( t be same as on Statement of Organization) AMENDING FORM
- ~ yz ~~r;~~
;~ I
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 688 .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#
S / 13L~, o 0
A
3
CK# /Zoo, oa
ID# )7
^_~~~t~BGO'yt ~~
ID#
~v ~
cK#
l~zto
3
~ ~~ z6
ID#
CK#
ID#
ene
CK#~
f 62:
ID#
~ Q
CK#~
SUB-TOTAL
$f~~ a0
TOTAL (if last page of this
schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
nmittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
mage) (See Page 2 of forms packet ) . If surname of contributor is the same as candidate, but there is no
nilial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
I
.
A MONETARY
;CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Includ'mg carldldate's personal lur4a)
Q CHECK THIS BOX IF
COMMITTEE 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 UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 688.32A(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#
t/ ~
r cK#
3
~~ ~'~ 1 , 00
ID#
ID#
ID#
CK#
IDN
CK#
dS 7
ID#
CK# 00
CK# /I
Cape, do LIZ
ID#
v
CK# Dd
~QO/ J`~Zlf/
ID#
0&
CK#
SUB-TOTAL
I
A MONETARY
;CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including canddale's petsortal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as State ent 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 USTOF 10 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# .~1' t-~-~~nC7ff~J'd7LJ
~lC~I"d~
CK# e,~; /Z- S~fsSt ~ " oa
~Z /yp/f7 Z6*!
CK#
ID#
141
CK#
- -
ID#
CK#
ldl"lD /mil
ID#
ID#
6;
/rQ ~ ;C`
-
.
~2r' z
ID# l`/~F'
~F'
/
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 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 688 .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#
~z~
~~rsz_
CK#.,~~
Q~
ID#
cK#
0
zs~~ h; o0
Gflo~ ..z ~z .~
I D# ~~ ~ iOCOr~J
0
CK# /0910
s w--r
CK#
ID#
/D ID#
cK#
r6 z, cva~ .~~ ,So2~.~
ID#
lD
*, _
,O, f/ zw
~ I D#
CK#
~'~3~ ~a~ ,5vza6 s
I D#
C! "~/P ~~~~
CK# -, /,?E~%,o d
l~~9
" SUB-TOTAL
$ 11 .~,oo
TOTAL (if last page of this
schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
nmitlee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
Triage) (See Page 2 of forms packet ) . If surname of contributor is the same as candidate . but there is no Page ._7___ of
nilial 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. 06/97) 1 RECEIPTS
(Incltidlng candldete's personal funds)
0 CHECK THIS BOX IF
COMM1TT E 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 688 .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# $ OD
/~ ID#
CK#
3~~~ ~,~~ ~ U zs,oo
/~ I D#
CK#
. 7--. -
ID# .sEGr.C
~o
h
-
l/ CK#
,S~~~ Gv~yl~
CK#
ID#
lD
CK#
~, s~~~s zoo 0
IDO
CK#
~Wi 0 W,
ITl/ r~ /~T~Da
d~zz
ID#
l0
CK#
ID#
ID
lp
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NtUBER IN THE DESIGNATED COLUMN . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION- Section 688 .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
CK# 0 Z)
I D# ~Z.~~.~sE~~firO
CK# OD
I D#
cK#
~~TZ
CK#
d/ ~~S vE T~ So~z.~'
ID#
CK#~- r~ ~Od, 00
o/ I-212' ,~~z~~
M~_e
I~
/ ID# r" `t .~~POc GUAy
CK# ~l~ ~rco ~ 31D l~oa
/ 57 9®/11-
SUB-TOTAL
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 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 688 .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-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
tD#
cK#
ei ~1~9 ~~ ,~oz6s
ID#
CK# 60
CK # da
IDp
CK# 57~Z /~
.e`~ ~r ZS'o a
a/ CK#
~DZ~'
lam
. f~~sx
1J, ~
ID#
CK#
ID#
o/ CK# ~~ ` 5 oa
~rSz~, z6ly
SUB-TOTAL
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 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 688 .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/DO/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
CK# 60
Cl~%F
ID# ~v~~~~/ Er11'
CK# Do
3° CK# o0
CK#
ID#
cK# 60
~ ID#
l
o CK# z /336 ~s d ,Sdoa
ID#
CK#
O
I D#
71,3~
C K# "~LAC
CK# /7~~~~ E aa
SUB-TOTAL ~ .-
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 688 .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 (it applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
LIGCl~ ~~~~E~ $
SoZGS
CK#
l
3 CK#
7
-
'7
ID#
t~~c~Fw ~C
CK#
~/
ID#
ll
CK# /3 "29 ldlJa a
ID#
CK#
ID#
l
/ CK# ZS r~~ ,P~/ on
r~ 3" 2G.s~
CK#z oib
/
CK#
Z179
3d'~'GVE1't~~~r /~~~ vtr=
Gvo .Saz~s
SUB-TOTAL
~, DO
$ 7? I
,'~', 00 1
LI
TOTAL (if last page of this
schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
nmittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
mage) (See Page 2 of forms packet ). If surname of contributor Is the same as candidate, but there is no Page ---of
nilial 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. 06/97) 1 RECEIPTS
(including candldale's personal tunds)
O 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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
CK#
fl E
ID#
CK#
451
-yZ" ,5o3Z~
1
/~ CK# r1z~- /S'~ ,,1J, oa
CK# V4 .~ a
0/ / ~7
ID# ArVC
_7Z
ID#
r!~E ~~~rrJrti9 Jp~~P>t1 on
CK
SUB-TOTAL
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 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#
Arl CK#
Z/~9 Gvo zlo6
ID#
CK#
/Z ID#
~rr0 ,p~itl~iC
cK# i3 .~Gv /yr'v ~.~'. Me, 00
ID#
CK# 7z
r~D3/ ~~~~~ a
/lam/
cK#
of
CK# ?~D,o 0
CK#~~~9
ID# eeei?e
~Sl
~O CK#
SUB-TOTAL
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 688.32A(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#
o/
CK#
t ~~ ~0 ,~ $ mod
ID# ~Z~Z.
~~CO~/1ll11! iPt
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL /
$l x '97
/79'07
D mow,, ~~ So3a
~iiri+dyc1ElerF~'/C ~o-t~
716. 6-e
cK#lo/ ~ ~-
ID#
CK#l z3 e El~Err
7 o0
,542(
0~ li`~or-rte
ID#
cK#
a, mar,, ~ ..s~3/~
ID#
"
SUB-TOTAL $ ZS3. ,38'
TOTAL (if last page of this schedule) $
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)(1) .)
Page
(for Schedule B)
- FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
ID# r
J
l/ z
l/
1,e%V&w
I D#
CK9 4 ,
Z2, ZF D
ID# ~/~1~ ~1u6
CK# ~Ozo
7~ CK#
Aozi
ID#
~/
CK#
"400
ID# N
-~ CK#
02 .~~.~ f~ SO. D a
SUB-TOTAL $lUo47F/
TOTAL (If last page of this schedule) $
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 an d Iowa Code 56 .6(3)(1).)
(for Schedule B)
' FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE I
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 09/97) 1 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 .
I
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
IN
IN 'y
IN
~~oo
IN
IN
l~aa~ lEZy~~E~~~
~
cK#/
z9
IN
IN
7ool~.r~S~ ~wa
SUB-TOTAL
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)(1).)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
/ CK#
ID#
CK#
ID#
CK#
' ID#
CK#
SUB-TOTAL $
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)(1) .)
(for Schedule B)
CANDIDATE'S COMMITTEE NAME ( L_ . e same as on Statement of Organization) SCHEDULEI
'lee E IN-KIND
CONTRIBUTIONS
CANDIDATE
For office use oniv
SUB-TOTAL $
(for Schedule E)
,` 12/10/01 MON 10 :53 FAX 5152817349 Pres . of Senate Q001
August 1, 2001
On Friday, July 13, 2001, John Ruan made an in-kind contribution to Mary Kramer and Stew
Iverson in the amount of $469.05 ($234.53 each) . A copy of the invoice is attached .
Thank you.
002
Pres . of Senate
12/10/01 MON 10 :53 FAX 5152817349
1r./ 1U~ vi MON 10 :47 FAI 515 1 18245 WAXONUA CLUB Q Q02 .
WAKONDA
CLUB
INVOICE
Amount shown Its due upon receipt of'ttfs irfvoice. Please rehan the enclosed copy of this invoice with your remittance to
insurs proper credit. Payment of this billing does not qualify as a chartfable conftfWution fiat Federal Tax purposes_ 9011119
., --to
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