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FOR I NSTRUCTI ONS, SEEBACK OF FORM

DI SCLOSURE SUMMARY PAGECOMM~I EE NAME ( Mu s t b e s ame a s o n St a t emen t o f O r g a n i z a t i o n )CT l j54 1 2e ~ s / Z _ c 6Nt o 0 LYI 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 . ED

( 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 C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o 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

RE OF TREASURER ( o r p er s o n f i l i n g t h i s r e p o r t ) TEL EPHONE DATE SI GNED

I AM F I L I NGA j MR4YI - 1 t ZDD2- REPORTFORA N/ A ( 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 o n e[ : ] CHECK I F AMENDMENTTOREPORTDATED

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 Range f r o m $ 1 0 t o $ 4 0 0SEE I NSTRUCTI ONS ON BACK ANDCOMPL ETE THE FOLL OWI NGSENTENCE :

F 1 Chec 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 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 N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HANDCASH ON HAND 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 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 ommi t t e e . T h i s amou n t MUST b e t h es ame a s t h e c a s h o n h an d a t t h e en 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 mu s 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 ODSche 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e C : F u n d - r a i s i n g Ev e n t s t o t a l ( A t t a c h Sc h e d u l e C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e du l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a p p l i e s t o Ca n d i d at e s ' Commi t t e e s On l y )SUBTOTAL . . . . . $

SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e d u l 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 du l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sche d u l e F : L o a n Re pa y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

rf . ORMR- 2

ev . 0 2 / 9 6 )O f f i c e Us e O n l ym. #

I n d e x e d -A u d i t e dC o mp u t e r

DI SCL OSUREREPORT

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 nC o 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

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

~ S b ' m o o '

6. J q 3 , S - T0 1 4 . b

UNPA I 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATECOMMI TTEES ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h ed u l e H- A t t a c h Sc h e d u l e H) $

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CONTRI BUTI ONS - MONEY TA&EN I N SCHEDULEMONETARYA RECEI PTSCOMMI TTEE

DATERECEI VED

0 3 / 3 1 / 0 1

0 6 / 3 0 / 0 1

0 9 / 3 0 / 0 1

1 0 / 2 0 / 0 1

1 1 / 0 3 / 0 1

1 1 / 0 5 / 0 1

1 2 / 2 0 / 0 1

1 2 / 2 1 / 0 1

1 2 / 2 4 / 0 1

1 2 / 3 1 / 0 1P . O . Bo x 1 7 9D u b u q u e , I A 5 2 0 0 4 - 0 1 7 9

NAME : CI T I ZENS FOR CONNOL LY CHECKHERE I FPAC I D No .PAC CHECKNUMBER

AMENDI NG

NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI PTO CANDI DATE

FORM

AMOUNT

D u p a c o Co mmu n i t y C r e d i t Un i o n ( D i v i d e n d C r e d i t ) $ 1 2 . 5 5P . O . Bo x 1 7 9D u b u q u e , I A 5 2 0 0 4 - 0 1 7 9D u p a c o Co mmu n i t y C r e d i t Un i o n ( Di v i d e n d C r e d i t ) $ 1 0 . 8 6P . O . Bo x 1 7 9D u b u q u e , I A 5 2 0 0 4 - 0 1 7 9D u p a c o Co mmu n i t y C r e d i t Un i o n ( Di v i d e n d C r e d i t ) $ 6 . 9 9P . O . Bo x 1 7 9D u b u q u e , I A 5 2 0 0 4 - 0 1 7 9

6 0 5 9 I CAR 1 0 0 . 0 02 1 4 7 1 1 1 1 O f f i c e P a r k Road

We s t De s Mo i n e s , I A 5 0 2 6 5C r a i g N e i l s e n 2 5 0 . 0 08 6 2 0 T i t l e i s t C i r c l eL a s V e g a s , N e v a d a 8 9 1 1 7

6 0 6 7 I o wa H e a l t h PAC 1 5 0 . 0 02 7 6 3 6 7 5 0 We s t o wn Pa r k w a y # 1 0 0We s t De s Mo i n e s , I A 5 0 2 6 6 - 7 7 2 6

Da v i d Pa l me r 1 0 0 . 0 02 1 3 SWF l y nn Dr .An k e n y , I A 5 0 0 2 1 - 2 6 3 5B r i c e C . Oa k l e y 1 0 0 . 0 04 1 8 3 8 ` h P l a c eDe s Mo i n e s , I A 5 0 3 1 2Do n E. B r a z e l t o n 2 0 . 0 01 5 1 0 NE T r i l e i n Dr .An k e n y , I A 5 0 0 2 1D u p a c o Co mmu n i t y C r e d i t Un i o n ( D i v i d e n d C r e d i t ) $ 6 . 9 9

SUB- TOTAL ( t h i s p a g e ) 7 5 6 . 7 8TOTAL ( i f l a s t p a g e ) 7 5 6 . 7 8PAGE 1 OF 1

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COMMI TTEENAME : CI T I Z ENS r ' OR CONNOLLY SCHEDULE I N KI NDE CONTRI BUT I ONCHECK HERE I F

AMENDI NG FORM

DATE NAME AND ADDRESS RELATI ONSHI P DESCRI PTI ONOF ESTI MATEDRECEI VED OF CONTRI BUTOR TO CANDI DATE I N KI ND CONTRI BUTI O F AI R MARKET

VALUE

0 1 / 0 7 / 0 1 J o s e p h A. T o l l a r i P r i n t i n g a n d p o s t a g e f o r $ 2 . 3 01 8 0 0 F l o r a v i e w Dr i v e J a n u a r y , 2 0 0 1 r e p o r tDu b u q u e , I A 5 2 0 0 1

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EXPENDI TURES - MONEY S P E I N ' f FROMCOMMI TTEE ACCOUNT SCHEDULE MONETARYB EXPENDI TURESCOMMI TTEE NAME : CI T I ZENS FOR CONNOLLY CHECKHERE I F

AMENDI NG FORM

DATE CANDI DATE . NAME AND ADDRESS TOWHOM PURPOSE AMOUNTEXPENDED I D No &PAC

CHECK No .EXPENDI TUEWAS MADE

0 1 / 0 6 / 0 1 Th e Du b u q u e L e a d e r E l e c t i o n i s s u e $ 5 3 .1 0 1 7 1 5 2 7 C e n t r a l A v e n u e a dDubuque , I A 5 2 0 0 1

0 1 / 0 6 / 0 1 Mi c h a e lW. Co n n o l l y Re i mb u r s e me n t f o r 5 51 0 1 8 3 4 5 8 D a n i e l s S t r e e t n o t e c a r d s a n d s t a mp sDubuque , I A 5 2 0 0 2

0 3 / 1 2 / 0 1 I o wa De mo c r a t i c P a r t y C o n t r i b u t i o n t o S e n a t e 5 0 01 0 1 9 5 6 6 1 F l e u r Dr i v e Tr u ma n F u n dDe s Mo i n e s , I A 5 0 3 2 10 5 / 0 7 / 0 1 I o wa De mo c r a t i c P a r t y C o n t r i b u t i o n t o S e n a t e 5 0 0

1 0 2 0 5 6 6 1 F l e u r Dr i v e Tr u ma n F u n dDe s Mo i n e s , I A 6 0 3 2 10 6 / 1 3 / 0 1 Mi c h a e lW. Co n n o l l y Re i mb u r s e me n t f o r 2 8 31 0 2 1 3 4 5 8 D a n i e l s S t r e e t s t a mp s a n d n e w s p a p e r

Dubuque , I A 5 2 0 0 2 s u b s c r i p t i o n0 8 / 0 9 / 0 1 Th e Dub u q u e A d v e r t i s e r E n d - o f - s e s s i o n 2 8 5

1 0 2 2 2 9 6 6 J o h n F. Ke n n e d y Ro a d s u p p l e me n tDubuque , I A 5 2 0 0 2

1 0 / 2 2 / 0 1 P o s t ma s t e r St amp s 1 0 21 0 2 3Dubuque , I A 5 2 0 0 1

1 1 / 0 1 / 0 1 Des Mo i n e s R e g i s t e r S u b s c r i p t i o n t o 1 2 81 0 2 4 1 9 6 5 C e n t r a l A v e n u e De s Mo i n e s R e g i s t e r

Dubuque , I A 5 2 0 0 11 1 / 0 2 / 0 1 Th e Dub u q u e L e a d e r L a b o r Da y A d $ 5 71 0 2 5 1 5 2 7 C e n t r a l A v e n u e

Dubuque , I A 5 2 0 0 1

SUB- TOTAL ( t h i s p a g e ) 1 , 9 6 5TOTAL ( i f l a s t p a g e )PAGE 1 OF 2

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EXPENDI TURES - MONEYSPENT FROMCOMMI TTEE ACCOUNT SCHEDULEMONETARYB EXPENDI TURES

COMMI TTEE NAME : CI T I Z ENS FOR CONNOL LY CHECK HERE I F

DATEEXPENDED

CANDI DATE .I D No &PACCHECK No .

NAME AND ADDRESS TOWHOMEXPENDI TUEWAS MADE

AMENDI NG FORMPURPOSE AMOUNT

1 2 / 0 6 / 0 1 T e r a H a r r i n g t o n Re i mb u r s e me n t f o r 8 81 0 2 6 5 6 6 1 F l u e r Dr i v e e n v e l o p e s a n d l a b e l sDe s Mo i n e s

1 2 / 2 3 / 0 1 C a r t e r P r i n t i n g P r i n t i n g o f f u n d - 4 2 .1 0 2 7 1 7 3 9 E a s t Gr a n d A v e n u e r a i s i n g l e t t e r

De s Mo i n e s , I A 5 0 3 1 6

SUB- TOTAL ( t h i s p a g e ) $ 1 3TOTAL ( i f l a s t p a g e ) 2 , 0 9PAGE 2 OF 2