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FOR INSTRUCTIONS, SEE BACK OF - '9M

I
FORM
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 11/97) REPORT

COMMITT E NAME (Must be same as on ate ent of Organizatio

IMPORTANT : Indicate type of committee you are reporting for:


( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates

u~15" 1Z 74 1--!:r - /2F


I

SIG E OF f0EASURER (or person filing this report) TELEPHONE DATE SI NED

Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :


JAN 2 2 202
I AM FILING
9f~ Z REPORT FOR ANNA (1) ELECTION /(2)NON-ELECTION_ YEAR .
(report date) Indicate one

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County b Local Committees, enter County In


O Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

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.) ........... ...... ...........................................................$ /

Z
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total Attach Schedule A Q

Schedule F: Loans Received total (Attach Schedule F) ......... ...................................... .. ......


Schedule H: Total Sales of Campaign Property (Attach Schedule H) ..................................
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL......$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ............. ..............................................
Schedule F: Loan Repayments total (Attach Schedule F) ........................... ........................

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# A%' fO~


CK#
~~~Z p ~' 030 9
/~ ID#

ID#

CK#
, ~ off/
~,l
t
,~ .~ o0
/ ID#

CK#
~v AW, -
SUB-TOTAL

TOTAL (if last page of this


schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
rmittee . 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 Fnstructions, See Back of Form SCHEDULE

' _CONTRIBUTIONS - MONEY TAKEN IN A


(Rev . 06/97) I
MONETARY
RECEIPTS
(Including candidate's personal kmda)
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 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# /

CK# 156 Few 7.S'7 A~ Oa


_. 3758
ID#
L~~EcP 0~:WC'
h ~~9~ ~G1Y

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

CK# ~~~~ .S'


/ ~' 6z
/O ~~ewP pp ~~ Z-~00 ,~iOC7
CK#
~1~~ o, AiV-,Za 2~_
ID#
7 ~~ "ear,-
cK#
z f ~r
ID#
~3 CK# .~~4 oo
SUB-TOTAL

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
Triage) (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

-CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Includinfl candidate's personal funds)
CHECK THIS BOX IF

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#

CK# 50 3t, " 0.0

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#

CK# S' -~ ' S~ ~2Sl,oa

ID#

CK# ~ ~vX~oS7 /ZSD.DD


Z,2,-;A1' ~~ ,So3Q3
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

TOTAL (if last page of this


schedule) $
tsclosure 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 ) . 11 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)
Four instructions, See Back of Form SCHEDULE

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#

ID# bpd ~,~T~,S~C r


CK#

ldl"lD /mil
ID#

ID#
6;
/rQ ~ ;C`
-
.
~2r' z
ID# l`/~F'
~F'
/

,-, ZOGG 6GOyl l'"t~G~Y ~Oa


CK#
~x"
SUB-TOTAL
$/r~~ ./~
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
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Inclodrng candidate's personal funds)
CHECK THIS BOX IF
COMM EE 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 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#

cK# ~9r lasb - 3~f S'>>~


~vl

ID
lp

CK# ~~ ~~ S,YI .~5~. o0


I:!!57~
SUB-TOTAL
$LOTJ . o D
TOTAL (if last page of this
schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribullon 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 ) . 11 surname of contributor is the same as candidate, but there is no Page v - __ of
nilial relationship . enter "not applicable' in the relationship column . (for Schedule A)
Far Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Re, 06197) RECEIPTS
(Including candfdale'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 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# l~~l W ~''r Do


-7- Sd~l

CK# OD

I D#

cK#
~~TZ

CK#
d/ ~~S vE T~ So~z.~'
ID#

,add/ e.-oo" ~~f OrnP~~~y


CK# 'oa
DZIo,~

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-

CK# ~Zo 5'dvfs,~~ n ~/s ~~ boa oa

SUB-TOTAL

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
CONTRIBUTIONS - MONEY TAKEN IN (Re, 06197) RECEIPTS
(Including candidate's personal hKlda)
O 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 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#

5 Gv . sI/ r~~cf' ~' ov


~>
a/
CK#
~~/D /~f~rE
10('
_Z'Z boa 7~
ID#

CK# 60

CK # da

IDp

cK# ~1~ a~ ~.rorE .?O~oa

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

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
, riage) (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 . D6/97) RECEIPTS
(Indudrny candidate's personal tunds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as 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 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# ~;~ ~~ao


~~ ,D/l T Z6.~

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 ~ .-

TOTAL (if last page of this


schedule) $
isclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
rmittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by /
triage) (See Page 2 of forms packet ) . 11 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 . 1)6/97) RECEIPTS
(Including candldele's personal funds)
[] CHECK THIS BOX IF
COMMITTEE NAME (Mus be same a_f 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 (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#~ ~ ~~35~ ,~ /moo


oz~~

/
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

xe_.:o~W'4,~ tpvd , . CV1


,444 S2~~"~
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

CK#

Ira PEA* A X3.5n /yYyv .


il/ cKill
p l~ ~u~ 9Qo
7Z0

fl E
ID#

CK#
451
-yZ" ,5o3Z~

1
/~ CK# r1z~- /S'~ ,,1J, oa

CK# ~OIJ. OZ>


0 .1 1- 7 ~~~ ~~~6~

CK# V4 .~ a
0/ / ~7
ID# ArVC

_7Z
ID#
r!~E ~~~rrJrti9 Jp~~P>t1 on
CK
SUB-TOTAL

TOTAL (if last page o1 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 . (to( Schedule A)
For-Instructions, See Back of Form SCHEDULE
A MONETARY
- CONTRIBUTIONS - MONEY TAKEN IN (Re 7) RECEIPTS
- (Including carxildote's personal funds)
CHECK THIS BOX IF
COMPITTEE NAME (Must be same as on Staf nt 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 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#

l ~~/l~ D ill, .So3o


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

l ID# 4~e~V ~ ,Povi ®~9


fps'
CK# Toz~ ~,~t. ~ra, S IQD,ad

CK# ?~D,o 0

CK#~~~9

ID# eeei?e
~Sl
~O CK#

SUB-TOTAL

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 thud 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 . 06197) RECEIPTS
(Including candkIMs s personal hinds)
[] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

~.E.C O/c ,S~~/ r1/S~

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

J~~O~~Po .E ,OrP. ~.JD~ 0Y7


AV
CK#
o/ . ewev Y~ "
r
4/
w AlC 42 70lf
ID# `

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL /

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
nilial relationship, enter `not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 09/97) I MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE O 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 .

COMMITTEE NAME (Must be same as on State pent of Organization)

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

$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) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) 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 .

COMMITTEE NAME (Must be same as on Statement of Organization

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
ID# ! -5

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) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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 .

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

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

TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 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 .

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

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
ID# G,rE~
cK#

/Z~~ ~~° ~a~ lEsf /Q

1a3~ cvOh? ~~ S~z6~

/ CK#

ID#

CK#

ID#

CK#

' ID#

CK#

SUB-TOTAL $

TOTAL (If last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

DATE NAME AND ADDRESS RELATIONSHIP


TO CANDIDATE' DESCRIPTION OF ESTIMATED FAIR
RECEIVED OF CONTRIBUTOR IN-KIND CONTRIBUTION MARKET VALUE
If A DAI

SUB-TOTAL $

TOTAL (it last page of this schedule) $


'Disclosure law requires candidates to disclose the relationship of any relative making an inkind contribution to the
committee .
Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) .
L-05825/140-0058/(Rev. 1993)

(for Schedule E)
,` 12/10/01 MON 10 :53 FAX 5152817349 Pres . of Senate Q001

August 1, 2001

To Whom It May Concern:

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

Mrs . Becky Beach 0075


4020 John Lynde Road
Des Moines, lA 50312

July 25, 2001

July 13, 2001


Round tabl e .Meeting

Dinner $300 .00


Wine $4Q_~0
Beverage $28_75
Service Charge $73 .75
Sales Tax $26-55

Total Amount Due $469 .05

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
Inquiries (515) 28S4965 Ext

1915 FLEUR DRIVE, DFS MOINES, IU1arA 5!1321-219q


TEL 515-SOS-49(,2 FAX 515-'85-1626 GOLF SHOE' 515-38S-1934
FOR INSTRUCTIONS, SEE BACK OF FORM

I
SCHEDULE

THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H CAMPAIGN


(Rev . 02/96) PROPERTY

COMMITTEE NAME (Must be same as on Statement of Organization) ATTACH SCHEDULE H TO


EACH REPORT, MAKING
CHANGES AS REQUIRED.

0 CHECK THIS BOX IF


AMENDING FORM
PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY **
Date Purchased
(Schedule B) Purchase Current
Price or Est . Value at Fair Date Name and Address of Purchaser/Donee Description of Property Sold? Sale Value of
or Date Received Description of Property
Value When Market This (MM/DD/YR) YIN Price Donation
(Schedule E)
MM/DD/YR Acquired* Report

ld/

ll ,E.fi vw

/73,x/ f 73.'o
6

** PROPERTY SALES & TRANSFERS TOTAL TOTALS $ $


TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT ~ p~
(TRANSFER TO SUMMARY PAGE) $ (TRANSFER TO SUMMARY PAGE) $
i
(Attach Additional Schedules if Needed) Page --- r . of __ Pages
* If estimated, show est. beside figure .
(For Schedule H)

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