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    F Cs f ? I NSTRUCTI ONS, SEE BACK OF r' MDI SCLOSURE SUMMARY PAGE J AN 1 6 2 0 0 2COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g an i z a t i o n)

    I MPORTANT : I n d i c a t e t y p e o f c o mmi 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 i d e / l e g i s l a t i 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( 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 e Co mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l 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 s

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    Ro u t i n e P e n a l t i e s Du e F o r L a t e F i l e d R e p o r t s R a n g e f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCT I ONS ONBACKANDCOMPLETETHE FOL L OWI NG SENTENCE :I AM F I L I NG A

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    CHECK I F AMENDMENT TO REPORT DATED

    F ~ Check 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 Di s s o l u t i o n Fo r m DR - 3 .( Yo u mus t c on 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 . )

    REPORT FOR AN/ A ( 1 ) ELECTI ON / ( 2 ) N ON - EL ECTI ON YEAR .

    STATEMENT OF CASH ON HAND

    I n d i c a t e o n e

    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 lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . Th i s am o u n t MUST b e t h es ame a s t h e c a s h o n h a n d a t t h e e n d o 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 THI S PERI ODSc h e du 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 ch e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    FORMDR- 2DI SCLOSURE( Re v . 0 1 / 9 8 ) REPORTF o r O f f i c e Us e On l yComm . #I n d e x e d ' -A u d i t e dComp u t e r

    L o c a l Commi 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 Co mmi t t e e s , e n t e r Co u n t y i nwh i c h E l e c t i o n i s h e l d

    / I f g g s - 9 z -w . o o

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    L l o o

    p~wuYwAVI 1 V 1 1 1 1CONTRI BUTI ONS - - MONEYTAKEN

    ( 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 n t o f Or g an i z a t i o n)

    A) ( ; ( " 0" A( 17- 7- CE

    ( SCHEDULE

    CHECK T HI S BOX I FAMENDI NG FORM

    AMONETARY( R ev . 0 2 1 9 6 ) RECEI PTSSTATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I D EN T I F I C AT I ONNUMBER AND THE PAC 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 ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Sec t i o n 68 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 nt 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 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 .

    DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELA T I ONSHI P AMOUNT

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    j 0 / 9 / o ~ CK#~&0 _/ ~EXJ~S y~ - UAk ~ l q - ABC . ~'d CK# Mo J t s . J A . s 02 - u 4 a w JI D# OS' C/ c - J A LLCMMI i L ~- JF l ~ r - r v i ~ d> ' I ? J ' 1 c 1 QS

    I ( l l DFFt i t f G e - K 2 ~0 1 00I D# 0~CK# / II D# ~ a 1 S - 1 CJ aCK# - ~t ( 1 4 ~gh S- ~r -1 ~ ~ Of C~ 1 ' f l o ~v c ~~ r4kI D#CK#

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    FOR I NSTRUCT I ONS, SEEBACKOF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE El CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTE AME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

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    CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

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    FOR I NSTRUCT I ONS, SEEBACKOF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L EGI S L AT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FP AC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t be s ame a s o n St a t e me n t o f Or g an i z a t i o n)

    & 7b L 4 ) i k 4C d " " r FrCANDI DATE NAME AND ADDRESS TOWHOM 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 ) WAS MADE

    ( MM/ DD/ YR) AND P ACCHECKNUMBERI D#CK#4 t v I , a l ? c c . a oI D# '

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    CK# q ( ~ '3 m o f , . ~"I D# v 'CK#9 a l

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    FOR I N STRUCT I ONS , SEE BACK OF FORM SCHEDULE

    EXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE T O STATEWI DE OR L E G I S L A T I V EC A ND I D A T E S , L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE OCHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA AMEND I NG FORME T H I C S & CAMPAI GN DI SCLOSURE BOARD .COMMI 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 )

    CANDI DATE NAME AND ADDRESS TO WHOM 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 ) WAS MADE( MM / D D/ Y R ) AND PACCHECKNUMBERD# /

    a ` r o S . e . . S ~ r o 0 2 0 . d 0I D# ~o 4 1 L 1 c _ : . - P T Uwr CK# ~~~ C a r i " ' ~ ~wRr aS 0 I S2 . , C ~ l o ~ . S b SD 0 1 y . J t )D# -

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    FOR I N STRUCT I ONS , SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

    STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V ECAND I DATES , L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COL UMN AND THE 0CHECK THI S BOX I FPA C CHECKNUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA AMENDI NG FORME T H I C S & CAMPAI GN DI SCLOSURE BOARD.COMMI 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 )

    ICANDI DATE NAME AND ADDRESS TOWHOM 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 ) WAS MADE( MM/ D D / Y R ) AND PACCHECKNUMBER n i l1 D #

    `1 0 1 1 1 CK # E, ~. ) 3 a o d . o 0I D#

    O1 0 / 1 3 10 1 CK # -s < d l P 0 .1 7 -1 D# P 0St~

    II I I oCK # ~ ~ . . ~ . 19~~d1 D# 1 _ 4CK # 5/S A t el ~ - 0 1 / 70 . 6 01 D#CK #1 D #

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    FOR I NSTRUCT I ONS , SEE BACK OF FORMT HI S FORMI S USED BY CANDI DATES' COMMI T T EES ONLY

    COMMI TT EENAME ( M u s t b e a me 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 )

    PART I - ONGOI NG I NVENTORYOF CAMPAI GN PROPERTY

    PART I I - SALES OR TRANSFERS OF CAMPAI GN PROPERTY * *

    TOTAL VALUE CAMPAI GN PROPERTY T H I S REPORT( TRANSFER T O S UMMARY PAGE) $

    I

    I f e s t i m a t e d , s h o w e s t . b e s i d e f i g u r e .* * PROPERTY SALES & TRANSFERS TOTAL

    TOTALS( TRANSFER TO SUMMARY PAGE) $

    ( A t t a c h A d d i t i o n a l S c h e d u l e s i f N e e d e d ) P a g e

    SCHEDULEH CAMPAI GN( R e v . 0 2 / 9 6 ) 1

    PROPERTY

    ATTACH SCHEDULE H T OEACH REPORT, MAI QNGCHANGES AS REQUI RED .F - 1 CHECK T HI S BOX I FAMENDI NGFORM

    ( F o r S c h e d u l e H )P a g e s

    D a t e P u r c h a s e d( S c h e d u l e B )o r D a t e R e c e i v e d( S c h e d u l e E )( MM/ DDNR)D e s c r i p t i o n o f P r o p e r t y P u r c h a s eP r i c e o r E s t .V a l u e WhenA c q u i r e d *

    C u r r e n tV a l u e a t F a i rM a r k e t T h i sR e p o r tN7 ) N C

    D a t e( M M/ D D / Y R ) Name a n d A d d r e s s o f P u r c h a s e r / D o n e e D e s c r i p t i o n o f P r o p e r t y S o l d ?Y I N S a l eP r i c e V a l u e o fD o n a t i o n

    I