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1 1 / 0 3 / 2 0 0 8 0 8 : 5 8 F AX 5 8 3 9 2 7 5 1 2 1 LEXTRON ANI MAL HEALTH

FOR I NSTRUCT I ONS , SEE BACK OF FORMDI SCLOSURE SUMMARYPAGE

L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e o l v l i a n d c r i m i n a l p e n a l t i e s . P u r s u a n t t o I o w a C o d e s e c t i o n G8 B . 3 2 A ( 7 ) t h e c a n d i d a t e . f o r a c a n d i d a t e ' s c o m m i t t e e - . _ _ . _ . . .a n d t h e c h a i r p e r s o n . f o r a n y o t h e r t y p e o f y o mmu t e s , I s t h e I n d i v i d u a l r e s p o n s i b l e f o r f l l l n g t i m e l y a n d a c c u r a t e r e p o r t s .

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[ j Ch e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m D R- 3 ,( Y o u mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a OR - 3 i s f i l e d . )

REPORT FOR ( 1 ) E L ECT I ON / ( 2 ) NON- E L ECT I ON YEAR .I n d i c a t e b y # I

STATEMENT OF CASH ON HANDCASHON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s amou n t MUST b e t h e s am e a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . , . , . . , . . . . . . . . . . . . . . . . . . $

ADD TOTAL . MONEY TAKEN I N T HI S PERI ODS c h e d u l e A : Ca s h C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A ) ( ` a l s o S e e I n - k i n d b e l o w ) . . . . . . ,S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 1 . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Camp a i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . , . . , . , . . . . , . . . . . . .

Sc h e d u l e H a p p l i e s t o C a n d i d a t e s ' Co mmi t t e e s O n l y )

- UNPA I D BI L L S ( F r o m Sc h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ~ $- I N K I ND CONTRI B UT I ONS ( F r o m S c h e d u l e E - A t t a c h Sc h e d u l e E ) . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , $" OUTSTANDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) _CANDI DATE COMMI TTEES ONLY :VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H )STATE COMMI TTEES : S u bmi t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t I n J a n u a r y o f e a c h y e a r .0

FORMDR- 2 DI SCLOSURE ;

L o c a l C o m m i m e e s , e n t e r D a l e o f E l e c t i o nC o u n t y & L o c a l C o m m i t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n I s h e l d

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CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mu s t ob e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . , . . . . . . . . . . . . . . $ l _ _

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I MPORTANT : I n d i c a t e b y # t y p e o f c o m m i t t e e y o u a r e r e p o r t i n g f o r : L o g g e d i n( 1 ) S t a l e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y S c a n n e d( d ) C o u n t y C e n t r a l C o m mi t t e e ( 5 ) C o u n t y C a n d i d a t e ( e ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r Ot h e r P o l i t i c s )S u b d I V I # i o n C a n d i d a t e ( B ) C o u n t y PAC ( 9 ) C l a y PA C ( 1 0 ) S c h o o l B o a r d o r Ot h e r P o l l t l c a l S u b d i v i s i o n PA C

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2/9

Fo r I n s t r u c t i o n s , Se e B a c k d f F o r r n" CONTRI BUTI ONS - MONEY' TAKEN I N

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s T A T E CNJ O I DATEs NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E PAC ( P O L I T I C A L A CT I O N C OMM I T T E E ) , L I S T T H E PAC I D EN T I F I C AT I ONNUMBER AND T HE PAC CHECK NUMBER I N T H B D E S I G NA T E D r Q L U MN , A L I S T O F I D NUMBERS I S A VA I L A B L E FROM T HE I O WA E T H I ~ WA N I D CAMPA I GND I S C L OS U RE BOAA0 . . " .C AU T I ON : S o c U o n 6 8 B . 3 Z A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f I n f o r r n a t l o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l l o l d n g c o n t r i b u t i o n s o rl o r e n ~ C o mme r c i a l p u r p o s o b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l l U QW r o r r t m l t t e e s .I

O t s C b s u r e l a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d l s d o s a t h e r e l a t i o n s h i p o f a n y r e l a t I v o ma k i n g a c o n t r i b u t i o n t o t h ec o r n r n l t t e e - R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e o r e e o f c o n s a n g u i n i t y ( b l o o d r o l a l l v e s ) e n d a m n l t y ( r e l a t i v e s b ym a r r t s p e ) . I f s u r n a m e o f c o n t r i b u t o r I s t h e s am e a s c a n d i d a t e , b u t t h e r e I s n of a r r W a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e ' I n I h o r e l a t i o n s h i p c o l u mn .

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STATE CAND I DATES NOTE : I F A C ON T R I O V T I O N I S R E CE I V E D FROM A S T A T E PAC ( P O L I T I C A L A CT I O N C OMM I T T E E ( , L I S T T H E P AC I D EN T I F I C AT I Q NNUMBER AND THE P AC CHECK NUMBER I N T HE D E S I G NA T E q ; OLUMN . A L I S T OF 1 0 NUMORRS I 8 A V A J L A 8 L E FROM T H E I O WA E T H I P A ND I C AMP A I GN0 I S C L O S v R E BOARD . . . .C AU T I ON ; S e c t i o n H8 8 . 3 2 A ( 8 ) , I o w a C o d a , p r o h i b i t s t h e u s e o f I n f o n n a t l o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r ! s o f a l t i n g c o n t r i b u t i o n s o rf o r a n ~ c a n u n a r c l a l p u r p o s e b y a n y p e r s o n o t h e r t h a n a t a t u t o r y P Q I I GQ W c o mm i t t e e s .

' D t a d o s u r e l a w r e Q u t r e a c a n d i d a t e c o mn , i n e a s Wd l s d a s e t h e r e l a l l o n s N p o f a n y r e l a t i v e ma k i n g e w n t r l b u U o n t o t h ec o mml t t e s . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a l i v e 9 b ym a r r i a g e ) , I f sumamo o f c o n t r i b u t o r I s t h e s a m e a s c a n d i d a t e , b u t t h e r e I s n o P a g e o ff a m i l i a l r e l a t i o n s h i p , e n t e r ' n o t a p p l i c a b l e ' I n t h e ml a U o n s h l p c o l u m n . ( f o r S c h e d u l e A )

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8 T 1 l T E C ; ~ DI DA7 ES NOTE ; I F A CONTRI BUTI ON 1 9 RECENEO FROH A STATE PAC ( P O I - I T I C A t . A CT I ON C OMMI T T EE ) , L I g T T Ht : PAC I D EN T I F I C AT I g NNUMBER ANO T HE PAC CHECK NUMBER I N THE DE91pNATEQ COLUMN, A L I S T Of I D NUMBERS I S A V AI L A B L E FROM T HE I OWA ETHI 5~AN0 CA 1 . t P A I G NDI S CL 0. 4 UR E 60ARD .CAU T I ON : S e c t i o n 8 8 B . 3 2 A ( 8 ) , l o 1 L , 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 p i e d f r o m r e p o r t s e n d s t a t e m e n t s f o r s o l i c i t i n g c o n u i b u t l o n s o rf o r : a f l ~ c o t n ma r d a l p u r p o s e b y a n y p o r a o n o t h e r t h a n s t a t u t o r y p o l l f J c a l c v mm l t t e s a ,

- Dk c b o u r e l a w r e q u i r e s c a n d f d a l o c a m m i t t e e " t o d i s c l o s e t h a r e l a t i o n s h i p o f a n y r e l a l l v o m p k l n p a c o n t r i b u t i o n t o t h ec omMt t o e . R e l a t i o n s h i p mu s t b e s h o w n t o i h o t h i r d d e p r e s o f c o n s s n p u l n l t y ( b l o o d r e l a t i v e s ) e n d o l A n l t y ( r e l a t i v e s b ym a r r i a g e ) , I f s u r n a m e o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e l a n of a mU l a l r e l a t i o n s h i p , e n t e r ' 1 1 o t a p p l i c a b l e ' I n t h e r e l a t i o n s h i p c o l u mn , .

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SCHEOUL EA MONETARY( R e v . 0 7 / 0 3 ) R E CE I P T SC7 CHECK T H I S B O X ' I F ' :A ME N D I N G FORM

DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE=LAT I ONSHI P AMOUNT I F F ORRECE I VED ( I r a p p l i c a b l e ) TO CANDI DATE' RECE I VED : FUNA-( M l r ( / D D N R ) AND PAC CHECK ( I f a p p l i c a b l e ) RA I SERNUMBER I NCOME1 0 # ' PT : T a K 1~ 'a La r " t o~ ,+~~Z I o - e ( o CK # $o) C' Z/S ' - - - ' C ' ~~ ) i ~ 2 a o , E I D I= L" . 1 \ 3 - r - k -N t . S2 a S 0 C)

I D# 1 3 1 ~ ' ( z T f ' LyN Q S ' _I o - - Z 4 - - 0 t o Co S I t o - t o - rH ~ - a ~ S cSu~( _VL. SF r s2e~ d f - ~ 1 ma c eI D # _ _' SAPJ + ( ~ v _ 0 j _ I S ; _: 'c~ CK# ! t o a - r H S ' , Z. o N O / 0 0, a p ErI D # . ,pp r o ~Y ' ' f ' Wr a d Y ` E i C ,~ c ~2L- o L o CK # l z l ~ r / Z s - - ' Sl l 0 - , i 5~- v L d J p t 1 ~ s vI O2 ( o ~ 0 ( o CK# Pt e " S f ~o L a SS = S- ~o5 S l a 0 e a c s~ 6 - Z t i o - a ~ o co g~S f t i ~SZ ~S; v G. r 5v 1~ ~ a ~ { oI D #I a - - 2 . ~ - e ( p C K # - 5 - s -e v C~w^ x~ . S~b ~ y G, v41 0 9I D # G~ / wY ~ - 5 f 1 4 - I n l l ~2cV~ . ~o - ~ t p - a ~ p CK# er s v. 1 \ d ' Z 1 4 ' SL6 L / O y am / OCRI 0 # R o~ ~ , , - ~ - c SQ _ , Sc , I r k ,t o - Z ( a - e ~ CK # I a ( 5 ( 3 ~ - ~ ^ Av C r - ) E ` t 3 , o0

r 1 0 #_

Sam. a _ s ; ca r t e _ Ni ' e _ 4 A a L A S_

o _ Z( a _ o CK# ~, OC Yv a t , ~


6/9

1 1 / 0 3 / 2 0 0 8 0 9 : 0 1 FAX 5 8 3 9 2 7 5 1 2 1; = ~ ~ : _ t k i = p ~ - f ? ~ ; " ' ; r -rF o 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 - - MONEY TAKEN I N

( I n c l u d i n g c a n d 1 d a t e ' s p e r s o n a l f u n d s )

LEXTRON ANI MAL HEALTH 4~ 008R r 0-1001 1 "

SCHEDULEIA I MONETARY( R e v . . 0 7 / 0 3 ) I RECEI PTSQCHECK T HI S 6 0 X ' I F ' rAMENDI NG FORM

STATE C~DI DATES NOTE : I F A CONTRI BUTI ON 1 9 RECEI V$D FROM A S T A T t : PA C ( P O l . 1 T I C , A I , ACTI ON C O MMI T T E E ) , L I S T T HE PAC I D E NT I F I C A T I p NNUMBER I WO T HE PAC CHECK NUMBER I N T HE DESI GNAT80 S r O I U MN , A L I S T OF I D NUMB( . R9 1 9 AVNLA6LE FROM THE I O WA E7HI ~ANDCAMPAI GND I $ C L O S UR i z B Q A r ~ p , - . ~CAUT I ON : SesUOn . l 3 8 t 3 . 3 Z A ( B ) , I o w a C o d e , p r o h i b i t s t h e u s a o f I n f o r m a U o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o I i GU n p c o n l r l b u U o n s o rf a r o ( y r c omme r Ga l p u r p o s e b y a n y p er s o n o t h e r t h a n : L e t u t o y p o l i t i c a l o o mr Nt t e e s .

SUB - TOTALTOTAL ( I f l a s t p a g e o f t h i s s c h e du l e )

D l a d o c u r a l a w r e G U [ r o s c a n d i d a t e c o mmi t t e e s b d i s c l o s e t h e r e l a t o n s h i p o f a n y r e l a U v a r n P k l n p a c o n I r I D U I 1 o n t o t h ec omMt t e e . R e t a t b n s h l D m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r a f a l l v o a ) e n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) , I f s u r n ame o r c o n V i b u L O r I s t h e s ame a s C a n d l d a l a , b u t t h e r e I s n of a m i l i a l r e l a t i o n s h i p , o u t e r 1 ' l o t a p p l i c a b l e ' I n t h e r a l a l l o n s h i p c o l u mn , , Page 5- o ( - ' . /( f o r S c h a d u i e A )

DATE PAG I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT q I F FORRECEI VED ( I f a p p l i c a b l a ) TO CANDI DATE' RECEI VED - FUND-( MMr DD/ YR) AND PAC CHECK ( I f a p p l i c a b l e ) RA I SERNUMBER I NCOMEl o # _Q, r Y~ L~~P s - ~ ' ~ bCK# O S o ) < _ S 1 ~

I D# 3, ! a 5 5 F V, v - 2 v \ _ St ~1 0 - 1 0 - o l o CK# I J - Z a Suh r i S - ~ C_ t 7 l ~ / t : 3 ~ oC11 0 # Si e a r ~ s S ~ E w t t r Y ~~

( 6 - - z 4 , a~ CK# 2 ' I 3 b d ` - ~ v J 5 i " f ~ Zo l o ~ o dv _ v t v \ ' D ^ .I D # y - e v l Y l 4 , 1~QY~ ~t o - 7 - 6 - 0 c K# f 3o X i o i 1 ' ~ ~ } S- zoL 40 ~o~o 0 aQv ~ sI D # ~er r ~ r f/ o - Z ( ~o l p CK# I BS3 S - " r - ~ h n~" r~ Rwv , " zC~ 2rR - SZo 3 - ~ t y~ G ' ~I D # - -f _ 71 a r tCK# 3 r 3 ~ 3 - - 1 y 5 t - ~ S

I D # - _

V T- 1 Z a r L - r r wa a , o . c ~ k Yt o - 2 q - , o w CK# 21 ! T C _ \ _ L A J s1 D # Aa v r & l t E S~n~r ( - ~ h c l a V l 8 1 ( '1 0 - - 3 0 ' - - 0 ( p CK#

- 71 - 7 1 , q v J ~Q~ s ~ R - L o ,n 1 4 U i e , n S2 d I QPUN

CK # 21 3 ao 0 1 - A , L i v s 6 E, r 19W- OO- 0 8 ~


7/9

11/03/2006 09 : 01 FAX563 927 5121 LEXTRONANIMAL HEALTH I a 007

THISBOXAPPLIESTOCANDIDATES' COMMITTEESONLY:P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h e d ul e H . ( R e f e r t o Sc h e d u l e H I n s t r u c t i o n s . )E x pe nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mus t a l s o b e d e t a i l i t e mi z e d o nS c he d u l e Gb y t h e amo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e mad e b y t h e p e r s o n l e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oS c he d u l e G I n s t r u c t i o n s a nd I owa Cod e 6 8A . 4 0 2 ( 3 ) ( i ) . )

Pa ge-o f( f o r Sc h e d ul e t 3 )

FOR I NSTRUCT I ONS , SEE BACK OF FORM 5 . . . . ` . ~ 4 . . ~ s . ' . i SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TT EE ACCOUNT ( Re v . D7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTR I BUT I ONS MADE T O STATEWI DE OR L E GI S L AT I V ECAND I DATES , L I S T THE CANDI DATE I D ENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN ANDTHE CHECK T HI S BOX I FPAC CHECKNUMBER FOR EACH E X P END I T U RE . A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMEND I NG FORME T H I CS & CAMPAI GN DI SCLOSURE BOARD.COMMI 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 )C' i L

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ D D / Y R) AND PACCHECKNUMBERI D # /CK # 4 0 -10 Gc n a e e P _ 1 1 L A,I D# f [1, . ?

I -Lcrt ol o CK#Iau r i . eJ\ J ~ v r m, I - - r - i + - S -7-SD # ' ~r-c~RV 6 2414CK Z1 - 7 0C. - r a w t a t 2 ~r . ~ - ws ~ ~ . h vomar es _I D # X 4 1 , 2 8 " C o U , r t - r ( t y f 1 2 . ~ ~ g C ~ ~wNf D~ ' s - SC K t ~ l e r S G I O s ~ s y o o ~~s ~ c ~1 ' 5 # I T Z

a l C K # ~ , ` ' ~ ~~ ' i ~ = _ z y 500x z o V t iID# CO

r2h~r~CK#Ce [ ~ QJ~, ~oLl I l k ' l $u~ f , l_oe 00CK#4C)

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SUB-TOTAL $

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OTOTAL( i f l a st page of t h i s schedul e) S


8/9

1 1 / 0 3 / 2 0 0 6 0 9 : 0 1 FAX 5 6 3 9 2 7 5 1 2 1 LEXTRON ANI MAL HEALTH 2 0 0 8

T HI S BOXAPP L I E S T O CANDI DATES ' COMMI TTE ES ONLY .P u r c h a s e s o f c e r t a i n c a m p a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r m o r e m u s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n d t l e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o nS c he d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t oS c he d u l e G I n s t r u c t i o n s a nd I o wa Cod e 6 8 A . 4 0 z ( 3 ) ( i ) . ) _

( f o r S c he d u l e B )

FOR I NSTRUCT I ONS, SEE BACK OF FORM SCHEDULEEXPEND I TURES B MONETARY- - MONEY SPENT FROM COMMI T TEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURES

S T A TE P A C COMMI T T E ES : NOTE . FOR CONTRI BUTI ONS MADE T O STATEWI DE OR LEGI SLAT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN AND THE CHECK T HI 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 AMENDI NG FORMETHI CS 8 , CAMPAI GN DI SCLOSURE BOARD,COMMI T TEE NAME ( Mu s t b e s ame 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 )coMt k~ r _ ` Td QLE G` fS-r ' k v E "k. R -CANDI DATE NAME A ND A DDR ES S T O WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( D ESCR I BE TRANSACT I ON ) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( 0 l s b u r s e r n e n t ) WAS MADE( MMI DD I YR ) AND PACCHECKNUMBERI D # I c y y -S - r t ei1 4 . ~ r c L pk - t } 1 3 QL A \ ICK# R- I - , L . d $ GZ3. 1 9

1 D# 1 ~ ' LV- - o , _ D wv~~ ~ ' EneN$ e F saCK# l o l l L - o u r ' ^ j u r 1 0 f e f + - r - s 3 S. zI D# I L I Zg - - - r t e ( ~ " ~ ~ r ~ t _ d

oOGTo( p1 D#CK#I D#CK#I D*CK#I D#CK#I D#CK#

SUB- TOTAL $3. - ~TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) I $ F 1


9/9

1 1 / 0 3 / 2 00 6 0 9 : 0 2 F AX 5 6 3 9 2 7 5 1 2 1 L EXT RON A NI MA L HEA L TH Z 0 0 9

FOR I NSTRUCT I ONS , SEE BACK OF FORMCOMMI T TEE NAME ( Mu s t b a s oma a s on St a t eme n t o f O ( g a n i z a t i o n )oMtM~Z t a ~ L i = G' T ~ s ~~ . 4 , u I C- t 1j

~ ~ ~ ~ " g W f v ' 7 ? e ~ ' ~

SUB- TOTAL

TOTAL ( i f l a s tp a g e o f t h i ss c h e du l e )

SCHEDULEE I N- K I ND( R e v . 0 6 / 9 7 ) 1 CONTRI BUTI ONS

CHECK T HI S BOX I FAMENDI NG F ORM

- D l s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e P a g e - I _ o f -I-c o mmi t t e e . R e l a t i o n s h i p mus t b e s h own t o t h e t h i r d d e gr e e o f c o n s an g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f o r Sc h e d u l e E)b y ma r r i a g e ) . ( Se e P a g e 2 o f f o r ms p a c k e t . ) I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h er e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l umn .

DATERECEI VED( MM/ DDf YR) NAME AND ADDRESSOF CONTRI BUTOR

RELATI ONSHI PTO CANDI DATE' ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ON

ESTI MATEDF AI R MARK ETVALUE

4 I F FORFUND- RA I SERCONTRI BUTI ON

2( ~ c , T o 1 ~k e , 8 VW, c A v , p o , f 4 { o f ~e 1 4

1 ( 1 2 - 1 1 Y +~ - S' T~ ' u ~ S' o 3a d ~ a , L$77 ~ N r ~

v Z Re c - T a , f oc . Q, t \~ ~ q v + ~YovsA N S p a i i l e ~

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