f J, 7 lh~ iRUCTIONS,' SEE BACK OF FOF FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE REPORT

COMMITT E NAME (Must be sam s on Statement of Organi ron)

For Office Use Only

I["'. 1 1 C
- 0 r-
11

Indexed 13
m~0~
-_3 4' ,6~ .
IMPORTANT: Indicate type of committee you are reporting for: m Audited I?

(( 15 )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate

)County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
Computer

( 8 )Support Slate of Candidates

b- c A--e-r-
I

[
TREASURER (or person filing this report)
DATE TELEPHONE SIGNED

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

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:

I AM FILING A tl y REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .

P
(report date) Indicate one

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

County & Local Committees, enter County in

Fl 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, OL'
or must be zero if this is first report filed.) ............ .. ..... .. ............... .. ~~
.. ..... . ...... .. .. ... .... $
ADD TOTAL MONEY TAKEN IN THIS PERIOD `r

Schedule A: Cash Contributions total (Attach Schedule A) ........ ~-~ . .. ............... . .... .. ... ..
Schedule C: Fund-raising Events total (Attach Schedule C) . .........
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) .... .. ......... ..... ......... .... ...... ......... ...

Z
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) ... ... . . . . . .. .. .. .. ..... .. ... . . . . . . . ... .. ..... ........... .. .................. .. . . . ...... ...... .. ......... .$ 136?-
.o"'

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 V NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 F.or Instructions, See Back of Forn SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 02196) RECEIPTS
(Including candidate's personal funds)

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

I CHECK THIS BOX IF
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

RECEIVED (if applicable) TO CANDIDATE* RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

pa /~Z r
.
CK#
~ n( -e~1l l - TA
ID# So `l <-e Sc ce
3 2 S~ - 3 2 'T~ s~
I CK# °c 2S

ID# l,` 2 4 6 . .e .~-~ G ~a A.

1l 131° ( CK# ! 3%3 ,o v
, -7-f
r-pnn s
ID# i nd 9 10 GI C,
g w Wi
(
R-° -, d ,m
a
1-F /-! 2 ° (° 3 - l e ! 43-° 41
CK#
6,14 rJ -4 S Il S
ID# 0-Y G Q r'1' -f-

n re ~ P << c~ s 3-oos
ID# p 'R W 1' Sit

CK# 33 G ~- M -1 K( -r
._ S'o
2! 6
ID# M IY i

l D#
r
CK# 2( Z,T
/t 9
-L-/T s®
I D#

~~
CK#
2-Tn a r" ~;~` 02 SO
I D# r---"
q
/,°/ 3 R 0 v ~~
.a
CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

* 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)
rqr In~rtructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAT (Must be same as on Statement of Organization)
(f
AMENDING FORM
L) ) 2-eA", f V-
P.,=!. -v -e ( /
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

RECEIVED (if applicable) TO CANDIDATE* RECEIVED
(MM/DDNR) AND PAC CHECK (if applicable)
NUMBER

Alt C -fc
-
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
$ Oct
TOTAL (if last page of this schedule) l , `I
$ l 4Q

* 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 FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 02/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 6 CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT

DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MM/DD/YR) AND PAC 1,2,3)
CHECK NUMBER

~
e? z

CK# ~

ID# 4.4 X-1 A

CK#
11113'6 A-4

d ? ~' .
2/ 29 ~~ C ~ dr e w
ID#

CK# I;

ID#

CK#

ID#

CK#

SUB-TOTAL $
7/. I'
TOTAL (iflast page of th is schedule) $ 17/'

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Campaign funds may be used only for

campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office.

Please insert the applicable number in the purpose column for each expenditure.

Purchases of certain campaign property costirxi $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 6y 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(3x .)

Page _~-of - I
,_ . ;,(for Schedule B)