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( I m l u d i r i g c a n d l d a t c ' s p c l s o n a l f u n ( i s )COMMI TTEE NAME ( M i m t t k o s a a s 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 )

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 )" D i s c l n s u r u l a w r u u u l t W : c a n d h l a l c c o f n n l l t t w ; s t o d i s c l o s e t h e r e l A l l p n s h l p o f a n y r o l a l l v e ma k 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 u I c U i < w s h i p m u s t b u s h o w n t o l h o t h i r d d c g r r . o o f c n n s a n g u l n f l y ( Wo 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 r n a m e 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 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 " o p t a p p l i p a h l e " i n t h e r e l a t i o n s h i p c o l u mn .

STATE CANDI DATES NOTE : I F n C ON T R I R U ' f I U N I S R E CE I V E D FROM ASI A l E Pn c ( 1 - ' U I - 1 I I G n L A C ' l I O N C U M M I ' I ' f L ( - ) ; . 6 1 5 ' r T HE P A C : I D E NT I F I C AT I O NNUMBER AND T HE P A r C H C r : K N u ML I r r : I N T HC b F _ S I G N A T EU COL UMN . A L I S T OF I D N u MS t _ k s I s n V n I L n l 3 1 _ E FROM H E I OWA r T n I C S AND CAMPA I GNU I S c t _ o S UR E BOARDCAUTI ON ; S e ea i n n 6 88 . 3 2 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 m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s n l l c : i l l n U e u r t l r i b u l i a t t ; o rf o r a n y c o m r r t e r c i i t 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 s t a t u t o r y p o l i t i c a l c o m r n i t l H r r s .

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :Pu r 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 $ 500 o r mo 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 Sc h e d ul e H. ( R e f e r t o S c he d u l e H i n s t r u c t i o n s . )Ex p en d 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 mu s t a l s o b e d e t a i l i t e mi z ed o nS c he d u l e Gb y t h e a mo u n t , p u r p o s e , e n d d at e o f e a c h t y p e o f e x p en d i t u r e ma d e 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 at e ' s c o mml l l e e . ( R e f e r t oS c he d u l e Gi n s t r u c t i o n s a n d I o wa Code GBA. 4 0 2 ( 3 ) ( i ) . )

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