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FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TT EE NAME ( Mu s t b e same 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 )Col L - L Re . -F_ SF00- (OCR+ ~ P '

I MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t( 4 ) C o u n t y C e n t r a l Co mmi t t e e ( 5 ) C o u n t yP 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 )Su b d i v i s i o n PA C

1 1 1 1 L o c a l B a l l o t ICANDI DATE COMMI TTEES - ONLY :

C a n d i d a t e Name

R e s e t F o r m

t a t e PA C ( 3 ) S t a t e P a r t y( 7 ) S c h o o l B o a r d o r O t h e ro o l B o a r d o r O t h e r P o l i t i c a l

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

L a t e 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 . P u r s u a n t t o I o wa Cod e s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c a n d '

e , f o r a c a n d i d a t e ' s

i n d i v i

a l r e s p o n s i b l e f o r f i l i n g t ie-

- T - 4T F OR ( 1 ) ELECT I ON / ( 2 ) NON- EL ECT I ON YEAR.

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

I n d i c a t e b y #0CHECK I F AMENDMENT T O REPORT DATED

I AM F I L I N G A

Che c k i f t h i s i s f i n a l ( t e n n i 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 must 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 . )

STATEMENT OF CASH ON HANDCASHONHAND 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 same 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 must 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADDTOTAL MONEY TAKEN I N T HI S PERI OD

FORMDR- 2DI SCLOSURE( R e v . 1 2 / 2 0 0 5 ) REPORTF o r O f f i c e Us e On l yComm . #L o g g e d I n - - ~S c a n n e dCompu t e rA u d i t e d

/ _ U ~ i- 73

r 1 - _F i l e w i t h :I o w a E t h i c s a n d Campa i g nD i s c l o s u r e B o a r d5 1 0 E . 1 2 ` " , S t e . 1 ADes Mo i n e s , I o wa 5 0 3 1 9F a x : 5 1 5 - 2 8 1 - 3 7 0 1

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n

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

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F o r I n s t r u c t i o n s , S e 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 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 S t a t e me nt o f Or g an i z at i o n)

f I ~ -L

( ; ~~~

v-o - o-2DA 14P_ Re se t Fo r m

SCHEDULEA MONETARY( R ev . 0 7 / 0 3 )

RECEI PTS

CHECKT HI S BOX I FAMENDI NG FORM

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECE I VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PA C I DENT I F I C AT I ONNUMBERANDTHE PACCHECKNUMBER I N THE DES I GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNn j . q r. i DRURF ROARDNOTE : ANY PERSON, OTHER THAN AN I N DI V I DUAL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOURCAMPAI GN MAYHAVE F I L I NGR ES PON SI B I L I T I E S AND SHOULD I MMEDI ATELY CONTACT THF BOARD.CAUTI ON : Sec t i o n 68B. 3 2 A ( 6 ) , 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 an d s t a t e me nt s f o r s o l i c i t i n g c o nt r i bu t i o ns o r f o r an yc o m me 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 .

DATE PAC I D NUI MBERRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR ) ANDPACCHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# 1 5 ( , L / ZK6 - k j 2 T 57v - r B b d cK# TZ- D 6 . , i ` t - ~' . c 1 c '( i t i x F ~~EACA N/ A 23 45I D# ~ 3 ' I - t - , 4 c . ~ ~ ' 7T ~t ~. c . tEG' T Y ~gl ( 2 ( k Tt ~t : 1 I , Z Ko / l - n - 4 - , " r . , , iI - j t 7 -CK# C,

" L CX 4 - X - 3c. j~c?~Z

. ~ L &- r7 1 S t r ?I D# $t LL ltCK# ' 3 f v Gj ~. - ! . c F=ob ~ - = = c . P iI D# v ~- . 1 . ~ 1 Jt G~ Y o m - " ( L ~ t Z i E_ ~'CK# _k A 1 6 c ~ . DOI D# L , ~ - - -

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Fo r I n s t r u c t i on s , Se e Ba c k o f F o 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 TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f Or g a n i z a t i o n )

R e s e t F o r m SCHEDUL EA MONETARY( Re v . 0 7 / 0 3 )RECEI PTS0 CHECK THI S BOX I FAMENDI NG F ORMSTATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED F ROM ASTATE PA C ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THEDESI GNATED COLUMN A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.NOTE : ANY PERSON, OTHER T HA N A N I N D I V I D U AL , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPA I GN MAY HAVE F I L I NGRESPONSI BI L I T I ES AND SHOUL D I MMEDI ATELY CONTACT THE BOARDCAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , 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 r f o r a n yc 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 c o mmi t t e e s .

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

CK#_I D#

CK# mbc )I D#CK#I D#CK#I D#CK#I D#CK#

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FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t Fo r mEXPENDI TURES - - MONEY SPENT FROM COMMI T TEE ACCOUNT

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DE NT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDULEB MONETARY( Re v . 0 7 / 0 3 )EXPENDI TURES0 CHECK T HI S BOX I FAMENDI NG FORMCOMMI TT EE NAME ( M u s t b e same a s o n S t a t e me n t o f O r g a r l i z a t i o n )DATEEXPENDED( MM/ DD/ YR)

o q r l 4 ( 0 ~ ,

b q / 2 o / 6 ( ,

0 q / 1 1 1 k ( 1 - 1* 2 _ 1 5 1 0 ( 0

O R / z q I , k ~

CANDI DATEI D NUMBER( i f a p p l i c a b l e )AND PACCHECKNUMBER

D#CK#1 D #CK#

NAME AND ADDRESS T O WHOMEXPENDI TURE( D i s b u r s e me n t ) WAS MADEPURPOSE( DESCRI BE TRANSACTI ON) AMOUNTEXPENDED

ul po aPP- 1 2 L - V f &2 , c f1 ~ c q ~, . ~ R&a( AL HLOYONAH A, ~~_ Cps t ZZ-C C 5 U - 4 . : c - r t . _ 0 c _ " F FS f t ' ~Q

- 5 v D, co

1 D #CK# I Z , O c t N. c u . RAI L / I l -W~~J . 4I D # I ~w~ ,~- 2 L f i / c P a t R . ~ 4 V t / p ` T&CK# / L i c F . D2 -

- 4 ' S b > t i 4 Q t a a t - l A 3~ l T1 1 I 7 I ~ r C . 3 i lV=T r u t ~ (1 D # U - ) % L ' i , I t - re e H v _ r r - PP- . * L 6 * _CK# 1 S ' r A( i K AJ .I D # I - - I - - r z _ r t R eCK# s - V k r - , - , A - c : F . ~M 1 ~ 't ~ s c e b I - S r - t N . k P-

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FOR I NSTRUCTI ONS , SEE BACK OF FORM R e s e t Fo r m SCHEDULEEXPENDI TURES - MONEYSPENT FROMCOMMI TTEE ACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR C ON T RI B U T I ON S 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 N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK THI S BOX I FPA C CHECK NUMBER FOR EACH E X P E ND I T U R E . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA AMENDI NG FORME T H I C S & 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 O r g a n i z a t i o n )(~, i - L _ ~ - ~ - >F p _ I &2 qq

CANDI 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 PACCHECKNUMBERI D# TAEZ^11N 4_ t >0- 1 L - -CK#I D# ~ , t . l , , t a l SST ~ d z - t L ~~ r 1 ~C "s

L c3 I GW ~ 3~' ~ ~, c ~ e a , k b1 LCK#I D#CK#1D#CK#1D#CK#I D#CK#

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

( LL9P- c f 1 c 4 r _ _ rr m- 1 0 " _ ' ) A _ 1 4 p , q9R e s e t Fo r m

SCHEDULEE I N- K I ND( Re v . O 6 f 9 7 ) I CONTRI BUT I ONSCHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED( MMI DD/ YR) NAME ANDADDRESSOF CONTR I BUTOR

RELAT I ONSHI PTO CANDI DATE` ( i f a p p l i c a b l e )

DESCRI PT I ONOF I N KI NDCONTRI BUT I ONESTI MATEDFAI R MARKETVALUE

~ I F FORFUND- RAI SERCONTRI BUT I ON

/ I I /U- 5 -k ' T It - . TIC 4 . ^ e - - n C~~~Ckc c , 6 4 . - -7 7 ~ ~ fCo l ~ T ~ ~I A ~ r o 3 r ~

~ ' ~c r - f1 7TE~ [ S E ,A~a~T~2 , a , 0 t D El

F - 1F - 1aF - 1F - 1F - 1

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FOR I NSTRUCT I ONS , SEE BACK OF FORMCOMMI TT EE NAME( Mus t b e sa me a s o n S t a t e m e n t o f O r g a n i z a t i o n )C k _ , ~ ) A I L A r - _

M-C4 ~ k * F- GQNOTE T h i s s c h e d u l e r e p o r t s money l o a n e d t o t h e c o mm i t t e e w h i c h I s d e p o s i t e d i n t h e c o m m i t t e e a c c o u n tTOTAL UNPA I D LOANS FROMLAST REPORTI NG PERI OD $

r6

PART - MONETARY LOANS RECEI VED T HI S REPORTI NG PERI OD( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b a n k , must b e s h ow n i f a t h i r d p a r t y i si n v o l v e d I n c l u d e l o a n s f r o m c a n d i d a t e ' s p e r s o n a l f u n d s . )

TOTAL ( PART I )

$

" 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 m m 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 ema k i n g a c o n t r i b u t i o n t o t h e c o m m i t t e e R e l a t i o n s h i p mu s t b e s h ow n t o t h e t h i r d d e g r e e o fc 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 y m a r r i a g e ) I f s umame o f c o n t r i b u t o r i st 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 f 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 er e l a t i o n s h i p c o l u m n when i t a p p l i e s

R e s e t F o r m

PART 1 1 - MONETARY LOAN REPAYMENTS MADE T HI S REPORTI NG PERI OD( L o a n s f o r g i v e n mu s t b e r e p o r t e d o n S c h e d u l eE- I n - k i n d C o n t r i b u t i o n s . )

TOTAL CASH REPAYMENTS ( PART I I )Fr o m S c h e d u l e E - - TOTAL LOANS FORGI VEN

TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD

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

SCHEDULEF LOANS( R e v 0 7 / 0 3 ) RECEI VED3 REPA I DCHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VEDMM/ DD/ YRNAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e ) RELAT I ONSH I PT O CANDI DATEI f A l i c a b l e "

AMOUNTOF LOAN DATE P AI D( MM/ DD/ YR) NAME ANDA DDRESS OF LENDER( i n c l u d e E n d o r s e r ' s Name , I f A p p l i c a b l e ) RELAT I ONSH I PT O CANDI DATE'I f A p p l i c a b l e )AMOUNTREPAI D