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FOR I NSTRUCT I ONS , SEE BACK OFFORMDI SCLOSURE SUMMARYPAGECOMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n l z a t l o n ) _I MPORTANT : I n d i c a t e t y p e o f c ommi 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 w l d e i L e g i s l a t l v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( S ) C o u n t y PAC ( 8 ) B a l l o t I s s u e / F r a n c h i s e C ommi t t e e ( 7 ) C o u n t y / C i t y C e n t r a i Co mmi t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e sCANDI DATE COMMI TTEES ONLY :Ca nd i d at e Name P o l i t i c a l P a r t y5 , re,O f f i c e S o u g h t

e r ~ ~ LA ' 6 0 L 9 - xSI GNATURE OF REASU R ( o r Pa r s o n f i l i n g t h i s r e po r t )L a t e f l i e d 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 c i v i l a n d c r i m i n a l p e n a l t i e s .

S I C I NSTRUCT I ONS ON BACK AND COMPLETE T HE FOLL OWI NG $ N T E N C C E ,I AM FI L I N G A 1 9 ? C 3 0 , "r0 L I REPORT F OR A N / A ( 1 ) ELECTI ON / ( 2 ) N ON - E L E CT I ON YEAR .

( r e p o r t d a t e ) I n d i c a t e o n e 5 1[ ] CHECK I F AMENDMENT TO REPORT DATED L o c a l C ommi t t e es , e n t e r D a t e o f E l e c t i o nC h 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 an 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 Fo r m DR- 3 .( Yo u mu s 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 . )

CASH ON HAND a t t h e b eg i n n i n g o f t h e r e po 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 el db y t h e c o mmi t t e e, T h i s amo u n t MUST b e t h e s ame as t h e c as h o n h a n d a t t he endo 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 ed u l e A: C a s h Co nt r i b ut i o ns t o t a l ( A t t a c h S c he du l e A) ( ' a l s o s e e i n - k i n d b el o w) . . . . . . . . .S c h ed 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 S c h ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h ed u l e H : T o t a l S al e s o f C amp a i g n Pr o p e r t y ( A t t a c h S c h ed u l e H) . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . .

( Sc h ed u l e Hs o i Al es t o Ce n di d at e a' C o mmi t t e e s On l v 1

SUBTRACT TOTAL MONEY SPENT T HI S PERI OD

STATEMENT OF CASH ON HAND

D i s t r i c t ( i f S en a t e o r H o u s e )HAO 32-

SUB- TOTAL . . . . . . $

" UNPAI D BI L LS ( F r o m S c he du l e D - A t t a c h S c h ed u l e D) , . . . . . . . . . . . . . . . . , . , . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . $' I N KI ND C O N T R I B U T I O N S ( Fr o m S c he du l e E - At t ac h S c he du l e E ) . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . $" OUTSTANDI NGLOANS ( Fr o m S c hed u l e F - At t ac h S c h ed u l e F ) , . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDl QAT QgMMI TTEES ONLY :CONSULT ANT BREAKDOWN ( S c hed u l e G At t a c h ed ? )VALUE OF CAMPAI GN PROPERTY ( Fr o m Sc h ed u l e H - At t ac h S c h ed u l e H) $

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S c he du l e S : Ex p en d i t u r e s t o t a l ( A t t a c h S c h ed u l e e ) ( - a l s o s ee d eb t s an d l o an s b e l o w) . . .S c he du l e F : Loan Re p a y me n t s t o t a l ( A t t a c h S c he du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e en 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 n c e mu s tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

YES _)(NO

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( I n d u d l n g C a n d i d a t e ' s pommel f u n d s )

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COMMI TTEE NAME ( Mu s t b e s e * s a s o n S t a t e me n t o f O r g a n / z e t l o n )~. a Y V \ Wt -:=LL "rb F4-LZLT S' r 9 _V~LuI CR' ~

STATE CANDI DATES NOTEI I F A CONTRI BUT I ON I S RECEI VED FROMA STATE FAG ( POUT I CALACTI ON C OMMI T r E E ) , L I S T T HE P I I C . , I D R NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBEA I N T HE DESI GNATED COLU MN . A L I S T OF I D NUMBERS I S A V A I L A B L E PROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD,CAUT I O N : S e c t i o n 6 8 B , 3 2 A ( 8 ) , 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 m e 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 a n y c omme r c i a l p ur p o s e b y a ny 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 e s .

S U B - T OT A LTOTAL ( I f l o s t p a g e o f t h i s s c h e du l e )

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' D L %c l o s u r s l a w r e q u i r e s c a n d i d a t e C Dmm l 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 ) 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 ) ( S e e Pa ge 2 o f f o r m s 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 ( 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 n n o Pa ge i ff a m i l i a l r 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 . ( ( o r S c h e d u l e A )

ON I - 1AJUa A 1J Wd 60= b0 b00Z-8

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Fo r I n s t r u c t i on s , Sa o 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 ! f u n d s )COMMI TTEE NAME ( Mu s t b e a s k s OS on S t a t e me n t o f OV an i z e d o n )

SCHEDULEA MONETARY( R a w, 0 6 / 9 7 ) I RECE I PTSGJ CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON 1 8 RECCN90 FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE P g 0 , I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GKATEO COLV MN, A US T OF 1 0 NUW89RS 1 9 A V A I I , A B L E ' F R OM T HE I OWA E T H I C S ANO CMAPAI ONDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 88 S . 3 2 A( e ) , I o wa Co d e , p r oh i b i t s Q* us e of I n f o n n at l o n c o p i e d f r o m r e p or t s and s t a t e me nt s f or s o l i c i t i n g c on t r i b ut l o n s o rf o r a ny c omme r c i a l p u r p o s e by a ny p e r s o n o u t 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 .

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TOTAL ( I f l a s t page o f t h i s s c h e d ul e )' Di s c l o s u r e l ow r e q u l r e e c a nd i d at e c o mmi t t e e s t o d i e c l 0 se t h e r e l a t i o n s h i p of a n y r e l s Ov e ma k i n g a c on t r i b ut i on t o t h ec o mr n f a e s . Re l a t i on s h i p m u s t De shown t 0 t h e t h i r d d e g r e e o f c on s an gu l n l f y ( b l o od r e l a t i v e s ) and a f f i n i t y ( r e l a t i v e s b yma a t a g e ) ( S oe Page a o r f o r ms p o c k e t . ) . I f sur name o f c on t r i b u t o r i n t h e sa me as c a n di d at e , b u t t h er e I s no Pageao rf a m l l l e l r e l a t i on s h i p , e n t e r ' n o t a pp l i c ab l e ' I n t h e r o l a t l on ah i p co l umn . ( f o r S c h ed u l e A)

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F o r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI BUT I ONS - - MONEY TAKEN I N( I n c l u d i n g o s n d l d e t e ' s P e r s o n a l f u n d s )COMMI TTEE NAME ( M u s t b e a a A1 a s o n S t a t e me n t o f O r p a n h s l l o n )

S I 1 T A T E C A N D I D A T L S N O T E I P A C O N T R I B U T I O N 1 8 R l 0 1 L N i 0 F R O M A 8Wf P A C ( P O U T I C A L A CT I O N C O MM I T T E E ) L I S T T H t t P l , , 0 , / D B " F I C A T I O NN U MB E R A N D T H E P A C C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T O f 1 0 N U M 8 9 R S 1 6 A V AI L A B L B ' P R OM T H N I O WA E T HI C S A ND C AMR A I 3 ND I S C L 0 8 U R e B O A R D 'C AU T I ON : S e c t i o n 6 8 9 , 3 2 A ( S ) , l o w s 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 e n d s t a t e m e n t s f o r s o l l c i f n p o o n t r l 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 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 o o mm i t t e a .

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Fo r I n s t r u ct l o n s, See Back o f Fo rmCONTRI BUTI ONS " - MONEYTAKENI N

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' D i s c l o s u r e t a w r e q u i r e s c a nOl d a l 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 o Np o f an y r e l a t i v e ma k i n g a c o n V e b u t i o n t o t h eoomr nMee . R e l a t l o n s h l p must b e s h o v e 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 nd e f n i t y ( r e l a t i v e s b yma r r i a g e ) ( S e e Pa g e 2 o r l o r ms p ac k et . ) . I t s umeme 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 no P a g e , _o ff a mi l i a l r e l a t i o n s h i p , a n g 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 ul e A)

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I D r t -~Ht i , ! , p~uS~1 G- 1 t r L4 CK# t o 00 Gc n - h c , Ar Y 0 R- l o , Oi nI D# t o. * V23 76 t NE=A s z o 21 0 # A C , Lam. ` g u y P r r-/ d 2- o CKX - h e i Z 06LYS zt J ~ s " o , i sl v # o - Z 3 w t M " E 1 ~ = c , t R - t - P A - r -j o2- CK# t o o ) Cs RHTJ 4 AVE : : r , A , / c o , o t JI D #l a2. , o y r _ K X FAR, - s t r DE4 - =AI O# 4 1 ' , 5 I ~ ~wI 1 1 r ~NS~. R~RS Pl c - ~

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10/15

OCT - 3 , 3 - 2 0 0 4 0 6 " 5 2 I A E T HI C S CAMPAI GN DI S CL O 1 5 1 5 2 8 1 3 7 0 1 P . 0 2F o r I n s t r u c t I o n s , Se e B a c k o f F o r mC ONT RI BUT I O NS - MONEY TAKEN I N( I n a u d i n c a n d l d a t e ' s p e r s o n a l f u n d s )COMMI T T E E NAME ( M u s t b e acme a s o n S t e l e m e n t o f Or p Na s d w r )CoMy v n " t j ~e - ~ c j EZ4 , - f - _ LA&W- Aw1

SCHEDULEA MONETARY( R e v 0 7 / 0 3 ) RE Ct I P TSC] CHECK T H I S 0 0 ) ( 1 1 7AMENDI NG FORM

S T A T E C A N D I D A T E S NOTE I F A C ON T R I B U T I O N 1 8 R E CE I V L 0 P R O M A S T A T E P A C ( P O L I T I C A L A CT I O N C O MM I T T E E ) L I S T T r i g P A C I D I N T I F I CA T I ONNUMBER A N D T HE P AC C M E C K N UMA I l R 1 1 4 Y H E D ES I G N A T E D C O L U M N A L I S T O F I D NUMBERS I S A VA l t A a l 9 FROM T H E I O WA E T HI CS A N D C A MP A I G ND I S C L O S UR E B O A R DCAUT I ON S e c t i o n 8 8 6 . 8 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 a n d s t a t s r n e n t s f o r s o l l c l t l n g c o n t r i b u t I o n s o rf o r a n y c o m mw 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 s t a t u t o r y p o l i t i c a l c o mm i t t e e s

s u e - T OT A L ,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 o s u r e l o w r e q u i r e s o a n d l d a l e c o r n m l l t e w o t o d l s d o s e i n s 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 I I I c o f t w t i n n t o t h ec o m r n l t t e a R e t a n o mh l 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 r o o n s a n g u l n l t y ( b l o o d r s W v e s ) a n d e t l t y ( m t a t i v e e 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 a m e t o 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 l o a b l e " I n t h e r $ I M l 0 n i n l p c o l u mn P a g e S c h e d u l e A )o f 4 d

0T' d L998 9L8 299 ONI l ddONA - I d Wd Z T : b 0 b 0 0Z- 8 T-

DATE PAC I D NUMBER - MME AND ADDRESS OF CONTRI BUTOR RE L A T I O NS HI P AMOUNT q I FRECE I VED ( i f s p p l i c s o l s ) TO C AND I DA T E ' RECE I VED FUN( MMI 0 0 ( Y R) AND PAC CHECK ( i f a pp l i c ab l e ) RAINUMBER I NCI D# '( A h ` t + i Z j Al 0 - 7 - 0 CKM C- 0 V\ +%- ~QLA ' 4' 0 r - - S e x ; )I D S ' ~ 1 owR ' F q I A , I ,; , , F & C

1 a ~ ~ 1 ~ o CKO p 5 s _ y 1 - 05r s Rv l r 3m, c t as S ' T o e v e t o ) AQS a 3C r I t -6 0 Z4 1 4 N k - - E NI D A t s t n I n n No* - Rawu- aL ~ , v f

CK# I S- r , ' l o o ,I Z( ol o # d v t a " ~ 1 t G~~~ . ~ ZbL a1 v - l ~ - o CK# ) 9 , 1 3 .S _ - 2 2 y * \ A . ST r - 7 X0 0 0 0t Mq L~ ~r ~1F za S `I D# C r r 1 ? - : 2 , Hy t \ J I EE

I D l 1 r h s : = . PACl o- i y - G CK# -7 qo 221 P&R- K- S^ r - r ~ S' ~ i ar t r Q a S ~ Ma ' ' ~ ~I D # R

CK# - 7 Z o O j i u V, - r o S2 - V ' . j V00 ; 0 t Jo _TD- 0-CKO j : 4 AJTWSs r b2 j n ~ ) S ~ ` F ' y a ' r OI D * Q- L &- mM, CO L Reap b l . ~ c . a v ~S -

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11/15

OCT- 1320 04 0 9 : 5 2 I A ETHI CS CAMPA I GN DI SCLO 1 5 1 5 2 6 1 3 7 0 1 P . 0 2F o r l n i t r u o t l o n s , Se a B a c k o f Fo r mCONTRI I BUTI ON3 - MONEY TAKEN I N

( I n d u C l n g c a n d l a s t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e & a m e e & o n St a t e me n t o f O r g s n l n t l o n )

G0 r Mh Ax - t " ` t " - # - r

SUS- TOTAL .TOTAL ( i f 1 8 8 t P896 o f t h i s s e h e d t . l e )

SCHEDULEA MONVARY( R s V , 4 7 / 0 3 ) I RECEI PTSCHECK T HI S BOXAMENDI NGFORM

9 Y A T 1 1 CANDI DATE$ N OT I E . I F A C ON T R I B UT I O N I S R E C E I V E D FROMA S TA TE PAC ( P O L I T I C A L A C T I O N CO MUTEM, L I S T THE PAC I DE N T I F I C A T I ONNUMBER AND T HE PAC CHECK MUMMER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMDERG 1 3 A V A I L A B L E FROMTHE I OWA E- T H I Q B AND CAMPAI GND I S C L O SU R E BOARD . 1 1 . 1CAUTI ON : S e c t i o n 8 6 . 3 2 A M ) , I o w a C o d e , p r o h l D l t s t h e u s e o f i n f o r m a t i o n o 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 l o r s o l i c i t i n g c o n t r i b u t i o n sf o r a n y c o mn we l e 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 l t i o a l c o mm i t t e e s .

D I s c l o s u m l o w r e q u l r e r r c a n d i d a t e c o m mA t e e s t o d l s d o s e t h e r a l & U o n s h l p o f a n y r e l a t i v e n f a k i n g a s o n l f i b u t l o n t o t h ec o mm i t t e e . R e l a t l o n e h l p mu u b e s hown t o t h e t h i r d d e g r e e o f o o n a e n g Wn i l y ( b l o o d r e l s u v e s ) e n d G Mn l t y V e l a d V e s b yma r Mg t ) , I f s u r n &M$ 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 Page , o ff a r n f l i o 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 l c a b l t " I n . t h e r e l " ~ o n s n l p c o l u m n , ( f o r Sc h e d u l e A )

TT ' d LS98 SZ8 299 ONI l ddONA 1 d Wd21"b0b00Z- 8T

DATA PA C I D NUMBER NAME ANDADDRESS_OF CONTRI BUTOR RELATI ONSHI P AMOUNT qRECEI VED ( I f s p p l l c 8 l n 1 e ) TO CANDI p ATE' RECEI VED F( MM/ C D( Y R) AND PAC CHECK ( I f a p p l i c a b l e ) RNUMBER IC K I e f C ~ ~ ( d l a Gt F t J ~ 1 JEV~E d s ~ 02 i 2. 5-1 " c cmi i r. . %I DS (K2q/ =H#4 p A c -c ' 3 3 8 ' 100a NO s J00 0 0A, w s r - -5 , S' a 3 oI D t e " ~ o a , p p p ~ e : v T~I St R, SC0 2 . 0 ( O 7G2 S ~ - I 1 ' ~ , k Wl t A ' h ~I is wi ms - - . S ~ A ~ ~ d t + OR 12 d ' t Oa

1 0 0 . 0 0 . VC r s # i l l PA-G. ,C K # o c , / a o 3 P r a~ sox. P/ -7 l o a ~ aG, I ~GI D S ~ r \ i t ~ v v ~ i ? a ~ C wr ~ ' ~ r ~ eV l ~ ' t ~~ S

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12/15

THI S BOXAPPLI ESTO 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 $ 6 0 0 o r mo r e mus t a l s o b e I n v e n t o r i e d o n Sc h e d u l 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 . )

LE x pe nd i t u r e s t o p e r s o nWe n l l 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 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 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 pe nd i t u r e mad e b y t h e p e r s o Ne n Ut 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 oSc h e d u l e G i n s t r u c t i o n s a nd I o wa Code

P a g e y o f 3-( f o r Sc h e d u l e B)

ZT"d L998 9 2- 8 299 ONI 1 d d t J 2 1 >I - 1 d Wd 2T : b 0 V00Z-8T

FOR I NSTRUCTI ONS, SEEBACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MPNEY SPENT FROMCOMMI TTEE ACCOUNT ( R ev , 0 9 1 97 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE ; FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI S LAT I V E CI CHECKTHI S BOXI FCANDI DATES, L I STTHE CANDI DATE I DE NTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPAC CHECKNUMBER FOR EACHEXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI L ABL E FROMTHE I OWA AMENDI NG FORMETHI CS d CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t e m e n t o f Or g a n i z a t i o n)

CANDI DATE NAME AND ADDRESS 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 ) WASMADE( MM/ DDYR) AND PAC

CHECKNUMBERI D# / &f 2 g I 9RNV_RS r 4 a 0 L0. . c , ~GP. o , B c y ~ V ol ao

,I D # I Hz B k - V. 4 - - r omI PL " 7 r ,=c . s Sd a y I t S e _ v - n i r A - = r - 6 , r - JI D * I y a ' H4, r 1_ . Qj Ph t n . ~ V~f 4P `1i Z " 4 - , , y - 1 L F 4 1' r c K # R r S " - r 4 , 5 t - Ar o c . i n t . t , 7 .= h sI D # ~ y z t ' s A , J V- 3 * ;S f t c- a . SNZPG=NC. , fcK# b7- 7 Sa o Hw~ 4 "Srs t c a w~ i - . y AA- J J DLxN ~J~l r oI D # i y z g ' o y . s r ;~~e-o-V-- - C . t 4 t

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13/15

FOR I NSTRUCTI ONS SEE BACK OF FORMEXPENDI TURES - - MPNEY SPENT FROM COMMI TTEE ACCOUNT

STATE PA C COMMI TT EES : NOTE : FOR CONT RI B UT I ONS MADE T O S T AT EWI D E OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DES I GNATED COLUMN AND THEPA C CHECK NUMBER FOREACH EXPEND I TURE . A L I S T OF 1 0 NUMBERS 1 9 A V A I L A B L E FROM THE I OWAE T H I C S B CAMPA I GN DI HCLOSURE BOARD .COMMI TTEE NAME ( M u s t b e s a me a s o n S t a t e m e n t o f O r g p n l z s t i o n )

SCHEDULEB I MONETARY( R e v . O W 0 7 ) EXPENDI TURES

CHECK T HI S BOX I FAMENDI NG FORM

KOs -T &64zoHwy z oQ I E: ( ZSv 2 - t 4 . E . a : # _ - 1 5 ZC

CANDI DATI D NUMBER( I f a p p l i c a b l e )A ND PACCHECKNUMBER

T HI S BOX APPL I ES TO CANDI DATES' COMMr TT EE8 ONLY :

NAME AND ADDRESS TOWHOM PURPOSEEXPENDI TURE f ( D ES CR I B E TRANSACTI ON)( D i s b u r s e me n t ) WAS MADE

P a p a z

TOTAL ( I f l a s t p o p e o f t h i s $0 9 4 1 1 1 1 4 ) 1 $

P u 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 $ 9 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 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 m u 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 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 l e n t t 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 mml 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 9 6 . 6 ( 3 ) ( I ) . )

o f - 2

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

2 T - d LG98 948 299 ONI 1AdUaA 1d Wd b T= t b 0 VOOZ- 8T


14/15


15/15

FOR I NS T Rl 1 C TI ONS , SEEBACK OF FORMC OMM l T 1 ' t i l l NAMB ( M u s t Ds c a r n e e s o n S t a t e me n t o / O r g e n Q r a d o n )C o PA i n nZZ- r ' ~ L - _ ' - 7 '-a

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

s c h e d u l e )

SC HEDULEE( Rw " Oa l g 7 ) I N

KI NDCON T R I BUT I O NS

[ ] CHECK T HI S BOX I FAMENDI NG FORM

' D I e o i c s u r e l a w r a q u l r s 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 e n v r e l e t f 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 eo o mm l t t e e . Re l a t i o ns hi p mus t b e shown 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 ( f o r S c h e d u l e E )b y mami 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 a umame o f c o n t r i b u t o r U 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 ' n o t a p p l i c a b l e ' M t h e r e l a t i o n s h i p c o l u mn ,

DATERECE I VEDMMI ODI YR NAMEANDADDRESSOF C ON T R I B UT O RRELAT I ONSHI PT O CANDI DATE' I f a I o a D l e

DESCRI P T I O NOF I N K I N DC ON T R I B UT I O NEST I MATEDFAI R MARKETVALUE

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