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2/15

Fo r I n s t r u c t i o n s , See Back o f Fo r mCONTRI BUTI ONS - MONEYTAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )COmm/ TT5E t o

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3/15

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4/15

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SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECE I PTS

CHECK T HI S BOX I FAMENDI NG FORM

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5/15

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6/15

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7/15

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SCHEDUL EA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS

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8/15

Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )C. qMMI TTEE NAME ( Mu s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )

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SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS

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9/15

Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r mCONTRI BUTI ONS - MONEYTAKENI N

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STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) . I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o pi e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p er s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e es .

SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) I RECE I PTSQCHECK T HI S BOX I FAMENDI NG FORM

DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI O NS HI P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# (0 ( ) S - 9 ZOw, # C4mm. y f F T i { " C . e AtCK# a b , ~ l l E l ooFzoT ! c ' / ~ d ,, y o v , odI D# (o/ l ~ : r A DvTOA6T' k . ~ , 4 S s w .pea. pr CK# j ooa / y s ~ - dog s rST- L~. S a . A ) OQ&, S ( 50" C) oI D# 6033 4EMC- ( 2 4 ,o ~ - a _ o ! CK# a N ~~ dI D# ( p a y W, 4 A Q, T O / ~ ~ ~ f ! Er ~S

060? d l CK# l V 7a o ` o X= ( v a sl u l s - a s I p 6 , doI D# , ~ MCK# PO / 3 oX 77

o S' ~ U 0 " C ) oI D # 67- 61 # &/ J U / 3 a Af " Sd '1 7 0 / CK# 6 6 ? S - 6 0, DESVIwWf ;S~~ 03o l oo. C) o


10/15

Fo r I n s t r u c t i o n s , See Back o f F o r r rCONTRI BUTI ONS - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEENAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

1 . ~0 / r I / ! 7 / /CETCZ 71CC-T+ 8 19 , G( ) 0 . C J O

I D #CK#


11/15

FOR I NS TRUCT I ONS , SEEBACK OF FORM SCHEDULEEXPENDI T URES B- - MONEY SPENT FROM COMMI T T EE ACCOUNT MONETARY( Re v 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I VECANDI DATES, L I S T THE CANDI DATE I DE NT I F I CA T I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDINGFORME T HI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEENAME ( Mus t b e s ame a s o n St at ement o f Or g a n i z a t i on )

Tr f c t o ~-ZC - c T J ig,/ Q ggc t t ~ 1 . SCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a pp l i c a bl e ) ( Di s bu r s e me n t ) WASMADE( MM/ D D/ YR) AND PACCHECKNUMBER

I D# u ) ; GT o r J H, O f J o c a r t c, 1 3 o X / Su OSCI , p T - ~ - J/ - l S - o 1 CK# 4 t / f V_As y6RR $ a~. o oCc . ) , L To , , J 5 -a,7 5 ) a ,I D# TAE . 4 . s . STATE of = - T hc K # ( 0 / 9 S ' T ' R r e T ' A~ 3LowA r l - AgSEs ; s - - S" o3 /I D# C , 4 P ? 6 A S * l n , F R r S7 - 0 P, 4 i n & ; , I ) rl . ~ o CK # ~ a . o P o / 3 oX L ' l t ? I , ~ A g EF c X ~ - / 0 , 570L o i J 6 TREc _ %. i 9 - 5 a 7 S ' - c s s3I D# s Gr , QZETT-

l - a l v - o l I K# 0109 R SU64 . n . ~ ~ +~ . ~ a ~1 a6, oa~ , al OL 134s J ' SaI D# WL I STG; , Q EAT t j IQS T/ r n A t ; q

12 - 01- 0 1 CK# O2A 3 NQo&wr e u - t Co ( F . 3S-s r 4 , ' 1 3 rR Z14 1 1 1 1 7I D# 7 - AE} S' SZ' Ar o f - L 4 ,


12/15

FOR I NSTRUCTI ONS, SEEBACK OF FORM SCHEDULEEXPENDI TURES B- MONEY SPENT FROM COMMI T T EE ACCOUNT MONETARY( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTR I BUT I ONS MADE TO STATEWI DE OR L EGI S L AT I V E I A N ] CHECKCANDI DATES , L I S T T HE CANDI DATE I DENT I F I CA T I ON NUMBER I N T HE DES I GNATED COLUMN AND T HE T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI L ABLE FROM T HE I OWA AMENDI NG FORME T HI CS d CAMPAI GN D I SCLOSURE BOARD.

MMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )Omm; q - T Ec r ~C l Q f ) , S

CAND I DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER E X P END I T URE ( DESCR I BE TRANSACT I ON ) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D# (2. ,q; rA. L RE So c A A , c 6 s6 6 0 X Cg S- ?- oq- o 1 CK# Ga . b AooK S " 1 uADRaMZ4. T ' T t

I D# G) Ar EL . L , o ' RE uBL~~e l ~ 1 jo? ; 0l CK# ~ a 1 7 TO8ok 30C~ LLo Sam- S ~ ( a s 3 I Q o , J. upsGv" o Z , DO

I D# DES r Zj a&Ar y ' Po~5 - 4 ~ - 0 , CK# NF; c ,3 n ~ Q. o G t o n 8 c~t a1 ~ 0 L ( , - S . STi 4 - n t j p S ~' ~" oaw~ ; r s -~ 6I D# ~~~E( / 14 Coc . ~ , wT / u / QCud

a7. 30 . 0 1 CK# (0 3 / 00 R, t i D w15 ~u7- . , V1oe ~~- f ~ . l 3l ' r ) USC~ ) g n , A) 6 s~76/ x n ) ~.I D#

1~0QSC l 4 7 ' , ' h l c I T - o . r - , 4 , ' ~ . o p , ~ . QcGr 2 Fo r e -l

- O CK# (3o u 1 csr rL~eRr xf s, , Gbc~ ouT' 6l 6I D# C; j ~Toy j l +gwK6


13/15

FOR I N S TRUC T I ON S , SEEBACK OF FORM SCHEDULEEXPEND I TURES B- - MONEY SPENT FROM COMMI TT EE ACCOUNT MONETARY- ( R e v . 0 9 / 9 7 ) E X P E ND I TURE S

S T A T E PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE T O S TA TEWI DE OR L E GI S L A TI V EC A ND I D A T ES . L I ST T HE C A ND I D A T E I DE NT I F I CA T I ON NUMBER I N THE D E S I GN A T E D COLUMN AND THE O CHECK T HI S BOX I FPAC CHECK NUMBER F OR E A C H EXPEND I TURE . A L I S T OF I D NUMBERS I S A VA I L A BL E FROMT HE I OWA AMENDI NG FORME THI C S 3 C AMPA I GN D I S C LOSURE BOARD .COMMI TTEE NAME b e s ame a s o n S t a t e men t o f& ( Mu s t Or g a n i z a t i o n )r

- )C A ND I D A T E NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EX P EN DI T URE ( D E S CRI B E TRA N S A C T I ON ) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI N CHEST L r ' ~L7 f ~~r y 7 / VO ~ ) (E - A s r 3 S4 B S t t , p T ~ c f j1 0 - / $ - V / CK# oy 3 I / 2 S ' $ d l . 6 0C A ) EST s a 9 7I N S ' 7 - ~ q ~ a GE s Q / n lT c r q ~~ ~

p ~ c K# ; ~ 3S / 9 b- 3 I Z 1 ~ , ~ . i J ~s c AT r ' n J t~ ~ 4 sa~ 6 / ~ ' - ` &L : c. t /39. Cp lI N ~o~~R r r t . E a c l , s a - f Ao f CK# 63 r a o ~ ' q c h S7 a CA ' s , r `Aj s ~3jV j q s d oI N ~~XE Wr t 3 -E XCh * A Nj El a - o s - o CK# 0 3 ? 70 / 7N / , 3 & AUE o l n ? u , T E ~ ( o s 'G6 E n 10A ' Z ,,I N

OS - O CK# Sl r E~RA r ' k A b I t O C r 0m l o t t d G " , 4 . &MS43Y ' 7 7I N l l S c ~ H f i ~C ` P b S 7


14/15

FORI NSTRUCTI ONS, SEE BACK OF FORM SCHEDULE

EXPENDI TURES B- MONEY SPENT FROM COMMI TT EE ACCOUNT MONETARY( R e v . 0 9 / 9 7 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VE L CHECKCANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .OMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )o I TLE C i u , ~ J s

CANDI DATE NAME AND ADDRESS Td WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D# cS~o ~ f UES l . o , g a~ ~ T o ~S / n 'a n l i G. S .

I d - ! a-o1 CK# u - r r r ~k , ~ . t ~L T E3 ~C, $ 010 - ( J r Ja ( . ~ R L , " 4 1 Tub _ X 4 ra( , a , coI D # N ; c , N ~ o l . - s ' P o s r o F f = , r c l r C T 1 :1 1 2/ ~ . - a 7 - o l CK# 6 1 9 3 4 - Pwy 00h o c , s z s ' a - 7 6, -post oFF,C, e ~ _ ~d x 70I NCK#I D #CK#I NCK#I D #


15/15

FORI NSTRUCTI ONS . SEE BACK OF FORM

T HI S FORMI S USED BY CANDI DATES' COMMI TT EES ONL YCOMMI TT EE NAME ( M u s t b e same a s o n S t a t e me n t o f O r g a n i z a t i o n )

V - 0 ~ y m ;PART I - ONGOI NG I NVENTORY OF CAMPAI GN PROPERTY

PART 1 1 - SALES OR TRANSFERS OF CAMPAI GN PROPERTY ' *

TOTAL VALUE CAMPAI GN PROPERTY THI S REP RT

" ' PROPERTY SALES 8 TRANSFERS TOTAL( TRANSFER TO SUMMARY PAGE) $

00 . Oa

( TRANSFER TO SUMMARY PAGE) $ - ,

ATTACH SCHEDULE H TOEACH REPORT, MAKI NG

CHANGES AS REQUI RED.CHECK THI S BOX I FAMENDI NG FORM

SCHEDULEH CAMPAI GN( R e v . 0 2 / 9 6 ) 1 PROPERTY

TOTALS $

. ! I f e s t i m a t e d , s h o w e s t . b e s i d e f i g u r e .

( A t t a c h A d d i t i o n a l S c h ed u l e s i f Neede d )

Page _ _ _

/

o f

l

Pages

( F o r Sc h e d u l e H)

D at e( MM/ DD / YR) Name an d Ad d r e s s o f Pu r c h a s er / Do n e e D e s c r i p t i o n o f P r o p e r t y S o l d ?Y/ N S al eP r i c e V a l u e o fD o n a t i o nDa t e Pu r c h a s e d( S c h e d u l e B )o r D at e R e c e i v e d( S c h e d u l e E )( MWDDNR)

D e s c r i p t i o n o f P r o p e r t y Pu r c h a s eP r i c e o r E s t .V a l u e Wh e nA c q u i r e d *

C u r r e n tV al u e a t F a i rMa r k e t T h i sR e p o r t

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