8/7/2019 Milder Steve__1544__scanned

1/5

FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f O r g a n i z a t i o n )F , I ' e a j S o ; S+ c v e 0 1 1 ) d - e , , -

I MPORTANT: I n d i c a t e t y p e o f c o mmi t t e e y ou a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C an d i d a t e ( 2 ) S - , - , Q i 1 6 ' r n ' - t y / L o c a l C an d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s

CCHECK I F AMENDMENT TO REPORT DATED

I GNATUREP~ TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )

( r e p o r t d a t e ) I n d i c a t e o n e

[ ~ Che 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 No t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y ou mus t c o n t i n ue t o f i l e r e p o r t s u n t i l a No t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HAND

R e s e t , ' F o r t n _ I

( 5 6 3 ) 6 3 7 - , " 5 1TELEPHONE

L at e f i l e d r e po r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i mi n a l p e n a l t i e s .SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE FOL L OWI NG SENTENCE :1 AM F I L I NG A O c - } o b Q - r - "+1 1 REPORT FORAN/ A ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT I ON YEAR .

CASH ON HAND a t t h e b eg i n ni n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mmi t t e e . T hi s am o u n t MUST b e t h e s ame 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 mu s 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 H I S PERI ODSc 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 Sc 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) . . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Ca mp a i g n Pr o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : Ex p e n di t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( * * a l s o s e e d eb t s a n d l o an s b e l o w) . . . .Sc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASHONHAND 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 al a nc e mus tb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

* ' UNPAI D BI L L S ( F r o m Sc h e du l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N K I ND CONTRI BUTI ONS ( F r o m Sc 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 Sc h ed u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h e du l e G At t a c h ed ? )VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H)

FORMDR- 2 DI SCLOSURE( Re v . 0 7 / 2 0 0 3) REPORTF o r Of f i c e Us e On l yComm. #L o g g e d I n c-MS c a n n e dCompu t e rA u d i t e d

/ 0- , 28- o fDATE SI GNED

L o c a l C o mm i t t e e s , e n t e r Da t e o f E l e c t i o n

Co u n t y & L o c a l C o mm 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

H, 1 85 .5 0. ~ dS

S5, 090 . R7

1 A x } 0 0 , 9 - 7

n YES NO

8/7/2019 Milder Steve__1544__scanned

2/5

Fo r I n s t r u c t i o n s , Se e 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 TTEENAME ( Mus t b e s ame a s o n St a t emen t o f Or g an i z at i o n )

Ri e ds S- ~e - e11111c l - e

SUB- TOTALTOTAL ( i f l a s t page o f t h i s s c h ed u l e )

STATECANDI DATES NOTE : I F ACONTRI BUT I ON I S RECEI VED FROMASTATE PAC( POL I T I CAL ACT I ON COMMI TTEE) , L I ST THEPAC I DENT I F I CATI ONNUMBERAND THEPACCHECKNUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVA I L AB L E FROMTHE I OWA ETHI CSAND CAMPAI GNDI SCL OSURE BOARD .CAUTI ON: Sec t i o n 68B . 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 mat i o n c o p i e d f r o m r e p o r t s and s t a t e men t s f o r s o l i c i t i n g c on t r i bu t i o ns o rf o r an y c o mme r c i a l p u r p o s e by an y p er s o n o t h er t h an 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 .

' D i s c l o s u r e l a w r e q u i r e s c a nd i d a t e c o mmi t t e es 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 an y r e l a t i v e ma t i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mus t b e s h o wn t o t h e t h i r d d e gr 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 ) an 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 a me o f c o n t r i b u t o r i s t h e s ame as c a n di d a t e , bu t t h e r e i s n o P a g e o f oi lf a mi 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 u mn . ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY

( Re v . 0 7 1 0 3 ) RECEI PTS0CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

t o / Uf ~O C1" / y . 70bL. i n d e , - , . S ft a e c r , ~ ~ a z-A Sa l r 7 / X0/ . , 2 J ' ~ C ?I D#CK# 4 5 ~ 2:q f 1 5 ~Mj j ; 44~ 4 4 1 , S P o ' /V0I D# 0 0 ? 7U CWA , e o e K

/ D l b ~ l l ` 7 ~ CK# o o / 3 7y3 5 - o l - 3 . , l N. w . ` v 00< WAs t 7 t o } . . , D . C : ~ v O o i1 0 1 1 / 4 / C` / 6 q , 5 - 644 -6 1 1 t s e ,n , W4 4u ~ , , , ( o 0

I D# PAw~ ( S1 0/ 1 6 1 0 c K# ~~ o I R A V C M / ~ C )C . N & n e - 0 L B j K f (I D# ~ - J US1Kc ,Q- \ Al l PAC-L cK#

~J 1 01

. 2 I 6 4 1 - AVC SW- 1 1 11S Ol t C/ - J _ Tf 1 50- 3C r l - q d 1I D# 33L . J A SDP- ~ ~ c r . a 1 C 1"

I c y 12P 109' CK# GO aZ S75 ! 0 1 , , 1 r ~e c y R ~ r ' i u ` C . _ y ( , t ) 0a9 , ? , 5 z. ~ - ~aaz

I D# PA~ ( AC- Su , 1 ~ en / r

6 ~l a ~ CK# 5qgq q ' l ~3 AAAV65 t /o y 0AA- y nA . r 6 1 - t A 50655

I D# Z l e r i WA- + , 5 0 , nzoo a

I D# Seven WI ' MAr o2ej o t Gr ~t n ~ A v - e , Su , , L 1 3CK# QR n 7 Des / v t , o 1 ~ e ) s~ 50$I ' 1- 5' 3 q 2 - ~O

8/7/2019 Milder Steve__1544__scanned

3/5

Fo r I n s t r u c t i o n s , Se e Ba c k o f F o 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 )COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f O r g a n i z a t i o n )Fnends o - ~ S4 e - v t I ' n t ` L l e - r '

~ t e 5e c~ ' o r m: SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOT E : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI TT EE) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE P AC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD.CAUT I 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 p i e d f r o m r e p o r t s a n d s t a t e me n t 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 an y commer c i a l p u r p o s e b y an 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 i t i c a l c ommi t t e e s .

SUB- TOTAL $ 5agoTOTAL ( i f l a s t page o f t h i s s c h ed u l e ) ~ q 0- ~0 5

D i 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 c o mm i t t e 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 m a k i n g a c o n t r i b u t i o n t o t h ec o mm i 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 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 t i v e s b ym a r r i a g e ) . I f s u mame 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 e r e i s n o Pa ge 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 r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A)

DAT E PAC I D NUMBER NAMEAND ADDRESS OF CONT RI BUTOR RELAT I ONSHI P AMOUNT 4 I F FORECEI VED ( i f a p p l i c a b l e ) T O CANDI DAT E' RECEI VED FUND-( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMI D# I 3 Wt . & - , e A Ce k r ` S ~ J MOf AE I 7 c CR^4a . l I S3 w 1 K "

l 0l a/ o CK# 383k Aj AtW4,J. . 506 ' 7 ' 1, =+A $ ; 1 00~

I D# b L45 . 4 i 7 L a J a ODS615 - 7 . , 4 4 _ < , 4 , E : 1L 0 p j 492 Oe PWe - ) , , Z - A ' ' O6 6 Z v r ( ~I D # 7 - e a s r l i e l s t r i~U1 23 c K# S1 1 J - 4 ' G ra e e s=A . s o6 6 2 ~L 7 L jI D# ZB I s W E r L . c A - I - ( a n A [t ~ 5 t 5 4 - t i S 4 N, wCK# wkA; , ~ ~. . c . 2woo s 5000I D#

CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#

8/7/2019 Milder Steve__1544__scanned

4/5

THI S BOXAPPLI ES TO CANDI DATES' COMMI TTEES ONLY :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 must 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. ( Re f e r t o Sc h e d u l e Hi 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 an 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 nSc h e d ul e Gb y t h e amoun 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 pe nd 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 ha l f o f t h e c a nd i d a t e ' s c o mmi t t e e ( R e f e r t oSc h e d ul e G i n s t r u c t i o n s a n d I o wa Code 68A. 4 0 2 ( 3 ) ( i ) . )

Pag e

( f o r Sc h e d u l e B)

FOR I NSTRUCTI ONS, SEE BACK OF FORM ( r + " R e s e t F o r m ; , SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DEOR L EGI SL ATI V ECANDI DATES, L I ST THE CANDI DATE I D ENT I F I CATI ON NUMBER I N THEDESI GNATEDCOLUMN AND THE DCHECKTHI S BOXI FPAC CHECKNUMBER FOR EACH EXPENDI TURE A L I ST OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA AMENDI NGFORMETHI CS &CAMPAI GN DI SCLOSURE BOARDCOMMI 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 )

CANDI DATE NAME AND ADDRESSTOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI 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 ) WASMADE( MM/ DD/ Y R) AND PACCHECKNUMBER

I D# 1 r ; s u A h - ~2 ~ CK# 4W) , $ 0 4 W~L S3Tl ~ $ q a , o b C )

I D# ( k , . $ . QO s ~ - OF ~ i CQ-CK# VI A, ~~ " A ` * X-A F0 6 5 - 6 1 1 0 11 0 a - 5 0 I J ~ ,

- I D# sCK# ~ o 6 . 5 5 5291 c ~ oI D#CK#I D#CK#I D#CK#I D#CK#I D#CK# ,

SUB- TOTAL $ 2 QvYTOTAL ( i f l a s t page o f t h i s s c h ed u l e ) $ r ~ 2 ~Cj +O

8/7/2019 Milder Steve__1544__scanned

5/5

FOR I NSTRUCT I ONS , SEE BACK OF FORMCOMMI TT EE NAME ( M u s t b e s am e 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 )

Fr l ' U) c { s o4' S+e. v e _ 1 ` n d der

SUB- TOTAL

TOTAL ( i f l a s tp a g e o f t h i s

s c h e d u l e )' D i 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 m a 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 ec o mm i 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 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 t i v e sb y ma r r i a g e ) . ( S e e P a g e 2 o f f o r m s p a c k e t . ) 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 same a s c a n d i d a t e , 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 , 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 u mn .

SCHEDULEE I I N K I N D( R e v . 0 6 / 9 7 ) CONTRI BUTI ONSCHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED NAME AND ADDRESS RELAT I ONSHI PTO CANDI DATE DESCR I PT I ONOF I N K I ND ESTI MATEDF A I R MARKET q I F FORFUND- RAI SER( M M / D D / Y R ) OF CONTR I BUTOR ' ( i f a p p l i c a b l e ) CONTRI BUT I ON VALUE CONTRI BUT I ON5 7 -6 UE / n % l d e . - ,3 , 5 5 2 t ~ ~~a f ~ - a F a : l t s : A F, f a n 4 . N ,. r T ~d ~ / y 1 i l ~ r ^ N t , ~, ~o~ uP3 ~g ~t J E~d~ J f ' r ; .14f : A 1. u 4 d 1 ; i y b a 0

, o j o y a s s J ~ ~ ~- - AA 4 * ( AA

i - . Z - * D

y AL w~ K 4 j p j ~ 8 0 010~~/ SAWA r566 1 d e . . . r A~ , Pr o n a - , w . 33 , 4 , 6 y 0

t p l , ~ , 5 lo y 6 6 ( . , Pl akA f i r . 7 $ . s y o , . 4f ^ ' l o P e r , 1 - 0 50 3 t 25 o F - 1 h ~ l a Y ' T. 0 WA " b 2M 7- I t r p ~ ~ " y$ r - G QC / ~~/ FCo Kk -dr . 6 7Y F~Nt , o l r ` 1 , $A 5o 5z1 1 1 , Sov

E-1