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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 n t o f O r g a n i z a t i o n )

-/ .I M ORTANT : I n d i c . b y # t o f c o mm i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e wi d e J L e g l S I a d 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 a t e PAC ( 3 ) S t a t e P a r t y

( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( S ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d l d a l e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y P A r r , ' , _ l f t o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v l s l o n PAC ( 1 1 ) L o c a l B a l l e t I s s u e

I AM F I L I NG A ~ AJuI 5r CHECK I F AMENDMENT TO REPORT DATED

CASH

5152551559 I I J OELOCA L 2 3 4

( r e p o r t d a t e )

SUBTRACT TOTAL MONEY SPENT T HI S PERI OD

l i t i c a l P a r t y ( i f a p p l i c a b l e )

TELEPHONE

[ ] Ch e c k i f t h i s i s f i n a l ( t e F mi 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 DR- 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 DR- 3 i s f i l e d . )

I n d i c a t e b y #

STATEMENT OF CASH ON HAND

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 ul e H : T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d ul e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed 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 On l y )SUB- TOTAL . . . . . $

Sc h e d ul e B : E x p e n d i 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 e bt s a n d l o a ns b e l o w ) . . .Sc h e d ul 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 ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . , . . . . .

UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . _ . . . . . . . . . . . . . , . . 3 1' 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S" OUTS " T " AND I NG LOANS ( F r o m Sc h ed u l e F - At t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h e du l e G A t t a c h e d? )VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h ed ul e H - A t t a c h Sc h e d ul e H) $

PAGE 0 1

FORMDR- 2 DI SCL OSURE( Re v . 0 7 1 2 0 0 4 ) REPORT

L o g g e d I nS c a n n e dCo mp u t e rA u d i t e d

L a t e r e p o r t s a r e s u b j e c t t op os s i b l e c i v i l a n d c r i mi n a lp e n a l t i e s .

REPORT FOR ( 1 ) ELECT I ON i ( 2 ) NON- EL ECT I ON YEAR .

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

CASH ONHAND 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 amoun t MUST b e t h e s am e a s t h e c a s h o n h an 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 l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . $ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Cas 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) . . . . . . . . . .

0 13 . 3_5 , J , J O - -3 P

ONHAND 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 mus tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . $

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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 ' B p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e sa me 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 )

STATE CANDI DATCS NOTE : I F A CONTRI BUTI 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 DENT I F I CATI ONNUMBER ANDTHE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD,CAUTI ON : Sec t i o n 58 B . 3 2A( 5 ) . 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 ma 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 men t s f o r s o l i c i t m g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e by 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 mmi t t e es .

SUB- TOTALTOTAL ( I f l a s t pa ge o f t h i s s c h e du 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 c o mmi 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 ma k i n g e 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 mu 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 ml a t i v r M a 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 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 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 r e l a t i o n s h i p c o l u mn ( f o r Sc h e du l e A)

SCHEDUL EA MONETARY

( Re v 0 7 1 0 3 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT N' I F FORRECEI VED ( I f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DDYR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOMEI D#

~~ ~QUl ~ ) L t ?~ - V~~ ~ i CZ1f 7 GY ^%Z 2 f r f ~ S

CK#I D*

m~~h l y me r n b~h ; ~~~ ~ CK# h r i s qI D# Si l t p o t 6 6 t i e Ck - DR- ' ~ ) u - f h r w~z n~2 A - z l x 4 CK#I D* m o n l 1 7 l y r ' W_ Mb " d i p b u a g 1 0 1 1 I Uo_6q CK# ~Or ~

s7s d Cho i L - i ) ` 0 At Al > =1 24 k i ~ , C I r )n u n - H i / k / me . v n l a e r s h ~ p ~~QsCK# P o r S a ( , - l

- I 3 ~ J ` ~DI D# SI Gj h E~ Qr ma l

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T HI S BOX APPL I E S T O CANDI DATES ' COMMI TTEES 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 5 0 0 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 S c h e d u l e H ( R e f o r t o S c h e d u l e H i n % t n v t i n n s . )E x p e n d i t u r e s t o p c r s o n s i e n t i l 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 ; l 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 m u s t a l s o b o d e t a i l i t e mi z e d o nS c h e 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 t 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 h e d u l e G i n s t r u c t i o n s a n d I o w a C o d e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

( f o r S c h e d u l e 9 )

FOR I NSTRUCT I ONS , SEE BACK OF FORM Z d 5 0 t " F ~ I 1 Y t t ' t ' ' " ' SCHEDUI . F-aEXPENDI TURES MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v 0 7 1 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L EGI S L AT I VCCANDI DATES . L I S T THECANDI 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 AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPA I GN D I SCLOSURE BOARDCOMMI TTEE NAME ( Mu s t b e s a m 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 )

-U. 1 1 0 o ~ - -C DI DA _ - NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE_ TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MMI DDI YR) AND PACCHECK

NUMBERI D# I qj ~ j f ^ i 2 Q6 7 S , b r C t i v ' CC~ I r L , " ~CK# a 1C> &nndeAV! - y t $ 5 ,"Co. - ~ t o " W As 5) 5 D3 ~ b l ~ t i ~ i C~ DILI D# j p 4 I n j u . r p hy f b r S t y - : k _ ' ~ c p

1 5 5 ~ J _ P a r o n o v i e z o 5 1 o w , UDCK#I D# 51~y ~ ' t ' ) c t r r ) t ~ ' Po r S t a k - - k pCK# 1dg~ I FJ r J t i L Z i ' o h l f y r 1 5 ,t A T & P I fI D# 1313g l b , a ) ) i e s c I I n- St . n ' L t e

p ~ a 3 - b ~ l CK# c7~~ 3RDwl Yl v ht eY~yf i r . i