gipp chuck__586__scanned
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FOR I NSTRUCTI ONS SEE BACK OF F f ' " ' 1 A
DI SCLOSURE SUMMARYPAGE
COMMI TTEENAME
u s t b e s ame a s o n S t a l m e n t o f O r g a n 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 mm i t t e e y ou 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 ( y s l a l 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 ( o ) 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
SEE I NSTRUCTI ONS ON BACK ANDCOMPLETE THE FOLLOWI NGSENTENCE :
AM FI L I NG A
11 ~ 5 ~ a 1 - -
( r e p o r t d a t e )
OCHECK I F AMENDMENT TO REPORT DATED
OC 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 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 Fo r m OR- 3 .( Y o u mu s 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 . )
REPORT FOR AN/ A ( 1 ) E LECT I ON / ( 2 ) NON- EL EC
I n d i c a t e o n e 1 9
STATEMENT OF CASH ON HAND
CASH 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 l
o 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 . T h i s am o u n t MUST b e t h e
s a m e 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 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
ADDTOTAL MONEY TAKEN I N T HI S PERI OD
Sc h e d u l e A: C a s 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 S c h e d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FORM
DR- 2DI SCLOSURE( R e v 0 1 / 9 8 )
REPORT
F o r O f f i c e U s e O n l y
Comm a _
I ndexedS0__
A u d i t e d
C o mp u t e r
CL/ - - , i - UJ
SI GNATUREOF TREASU
o r p e r s o n f i l i n g t h i s r e p o r t )
TELEPHONE
DATE S I GNED
R o 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 Range f r o m $ 2 0 t o $ 8 0 0J AN 2 2 2 0 0 2
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
C o u n t y 8 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 , Se e B a c k o f Fo r -
CONTRI BUTI 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 n t o f Or g a ni z a t i o n)
J
SCHEDULE
A MONETARY
( Re v . 0 6 / 9 7 ) ,
RECFI PTS
CHECK THI S BOX I F
AMENDI NGFORM
STATE CANDI DATES 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 D E NT I F I C A T I O NNUMBER 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 : Se c t i o n 6 8 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 l o r ma t i o n c o pi e d f r o m r e p o r t s a nd 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 r
f o r any c omme r c i a l p u r p o s e by any 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 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSH I P AMOUNT v I F FOR
RECEI 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
I D#
1I ~
c 1CK# a y j At 6 ~I ,
DA-
I D# t o . I A - ) ; R&W. . -
%-: r-- 7 AEaC K# t ( 8
t o _ . _ . ,Ul a . w . Sb 3a
4 4I D# b o ` 3 CJ r , . . , , ~ ' t -r t e~ , , Q1 4 s s o c ~ o J '
s12/
, b , 5. s ' "
o f CK# 8 1 6 - 75o t f 2 -
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Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m
CONTRI BUTI ONS - - MONEY T AKI L . . 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 ds )
COMMI TTEENAME( Mus t be s ame a s o n St at eme n t o f Or g a n i z at i o n )
STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACT I ON COMMI TTEE) . L I ST THE PAC I DENT I F I CATI ONNUMBER AND THEPACCHECKNUMBER I N THE DESI GNATED COLUMN A L I S T OF l D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD
CAUTI ON : Se c t i o n 66B . 3 2 A( 6 ) , I o wa Code, p r o h i b i t s t h e us e o f i n f o r mat i o n c op i e d I r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c on t r i b u t i o ns o r
f o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r 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 e s .
SCHEDULE
A MONETARY
( Re v 0 6 / 9 7 ) 1
RECEI PTS
CJ CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FORRECEI VED ( i f ap p l i c ab l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f ap p l i c ab l e ) RAI SER
NUMBER I NCOME
/ I Da ( o < l 3 0 t o . $ . . , SAr - t , . A,
CK#i l y06
t . . ~ - 1 0 . . > . 4 s o s o wI Da t e 1 4 1 6 A - s c - - P . 4 C-
R C- 0 t s-
CKN
I Da
b( ~CK# J S- $f 9 a I a s Ye~owr . ~
! o oS
. o aI c 7
cKa 2. . 2 33'r t o ( ZS' - a 1
/ o o - ` - -L ' l . . -
10 2. L +b~ I ( . ~o . , , d ~ 1
: ~e i + w , p4c -
CKa ' 1 0 2. 1 c o r ,
( 0I Da ( Qf ~S ~ ( .~r t , A ~4co+ww. . "w~~) k-
CK# - LO- 7O1 / i 1 ~~ . _ . .
I Da
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COMMI TT EE NAME ( Mu s t b e s ame 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 )
MONETARY
RECg I PT S
CJ CHECK T HI S BOX I F
AMENDI NG FORM
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON COMMI TTEE) . L I S T T HE PA C I D EN T I F I C A T I O NNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM TH E I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD
CAUTI ON : S e c t i o n 68 B . 3 2 A ( 6 ) , I o wa Co d e , 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 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 an y c o mme r c i a l p u r p o s e b y an y p er 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 RE L A T I ONS HI P AMOUNT v I F FOR
RECE I 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
-I D# T ~ . ~ . . .
c Ka 3 i l e r0 1 0. 1 ' / " ~ b . wr a + 1 ~, , L . 3 r o 3 0 1 ?
I D # '
r .CK# g 5 _ 5 - e 6 g 1 . 3 0 6_~~
zz
I D # 1 , y 3 3 COQ4
/ ~ CK# a~r a . . a
/ C~ a~ r > ` 6 ~ ~ ' o J - c a m-
I D # ~ 4 - C-
CK# CC.3 o c 1
r~~~~ L~ . s - ° ~I D# o , . . - e . . .
9 a - 8 a a %
I D# ( p 0 &? gc . . . r . . ~. I L ) Gl , CPh A w+ Awr t
I D #
Fo r I n s t r u c t i o ns , See Back o f Fo r m SCHEDULE
ACONYRI BUTI ONS - - MONEYTAKL . . I N
( Re v 0 6 1 9 7 ) 1( 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 )
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F o r I n s t r u c t i o n s , Se e Ba c k o f Fo r m
CONTRI BUTI ONS - - MONEY TAKh - . + I N( I n c l u d i n g c an d i d a t e ' s p er s o n a l f u n ds )
COMMI TTEENAME ( Mus t be s ame a s on St at ement o f Or g a n i z a t i o n )
I
G-654-
SCHEDULEA MONETARY
( Re v . 0 5 / 9 7 ) 1
RECEI PTS
CHECK THI S BOX I F
AMENDI NG FORM
STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T ICAL ACTI ON COMMI TTE E) . L I ST THE PAC I DENT I F I CAT I ONNUMBER AND THE PACCHECKNUMBER I N THE DESI GNATED COLUMN A L I S T OF 1 0 NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS ANDCAMPA I GNDI SCL OSURE SOARD-
CAUTI ON : Se c t i o n 68B . 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 l o r ma l i o n c op i e d f r o m r e p or t s and s t a t e me n t s f o r s o l i c i t i n g c on t r i b u t i o n s o r
f o r any c o mme r c i a l pu r po se b y any p e r s o n o t h e r 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 e s
DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FOR
RECEI VED ( i t ap p l i c ab l e ) TOCANDI DATE' RECEI VED FUND-
( MM/ DD/ YR) ANDPACCHECK ( i f ap p l i c ab l e ) RAI SERNUMBER I NCOME
I D # ( 2 6 33 CA- t c . -_-
Y,CK# 1
1 (. 62-. , . d30
I N i 6 aa? `
l Z ( CK# 1 8O? 4 4G C, "4,4 S. .~t7o7 . . . . ~ - - -
I D #
SR1 ~r , I D # 60 o W) e r ,
Sz l ~ ' 1v . . . . . ~'S:CK# ~' l s '
,w V W r 50301 - r S 3 i l
7 rl 1 9 C K # ` , 3s 19
'
~. ~ . s 3 . , c r Z " z1C3
c a f ' . . . . . . 6- M. e
I D #
CK# 3 " f f 3
I D # .
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Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m
CONTRI BUTI 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 TTEENAME ( Mu s t b e s ame as o n S t a t e me n t o f Or g a n i z a t i o n )
SCHEDULE
AMONETARY
( R e v , 0 6 / 9 7 )
RECF I PTS
0 CHECK T HI S BOX I F
AMENDI NG FORM
STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACT I ONCOMMI TTEE ) , L I S T THE PAC I DENT I F I CAT I O N
NUMBER AND THEPACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETH I CS AND CAMPAI GNDI SCLOSURE BOARD
CAUTI ON : Se c t i o n 6 8 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 an d s t at 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 rf o r an y c o mmer c i a l p u r p os e b y an y p er 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 RELAT I ONSHI P AMOUNT v I F FOR
RECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RA I SER
NUMBER I NCOME
CK#7?
I D# b o a 1 8 V a. , .
' ~ ) I J CK#/ 6U'
1 D#Tt J t Z, ~,
1 . 2
i l lCK# 7094 a` ' ! XS 'W ~
L l . I "
I D#
8 6 c ~U CLacK#
` -L
I D# v '
CK#` !
D#
CK#
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FOR I NSTRUCT I ONS, SEE BACK OF FORm SCHEDULE
EXPENDI TURESB MONETARY
- - MONEY SPENT FROM COMMI TTEE ACCOUNT( Re v . 0 9 1 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VEO CHECK T HI S BOX I F
CANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE
PAC CHECK NUMBER FOREACHEXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORM
ETHI CS 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 Or g an i z a t i o n )0
Ct i
r
CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
( MM/ DDNR) AND PAC
CHECK
NUMBER
I D# 3
/ CK# s o 7 ~ ( ~ - ~ $ ~ o ao f
X 7 CK# o .50
-I D#
l X2 8 4o .CK# s o9 e
- 1
_
I D#
/ 9 c K# , y q o a
/ r -
3 6 CK#A) . . , j LL J P. -3' 0LI I
1 D #k-L
.
S
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FOR I NSTRUCT I ONS , SEE BACK OF FOFu v l SCHEDULE
EXPENDI T URES B MONETARY- MONEY SPENT FROM COMMI TTEE ACCOUNT
( Re v . 0 9 / 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : F OR CONTR I BUT I ONS MADE TO STATEWI DE OR LEGI SLAT I VEO CHECK T HI S BOX I F
CANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHE
PAC CHECK NUMBER F OR EACH EXPENDI TURE A L I S T OF I DNUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORM
ETHI CS 3 CAMPAI GN DI SCLOSURE BOARD .
COMMI TTEE NAME ( Mu s t b e s a m e 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 TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON ) EXPENDED
EXPENDED ( 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
( MMI DD/ YR) AND PAC
CHECK
NUMBERI D # S. ~ A t GQ . . . . d 7 c . . . .~®" " , . "
K #
I D # u. s .
? , o . l a e ~c o 3 . ¢ . . , : QQ ' ~ ' I r e fZ CK#, ,
I D#
~z CK#
3 /I D #
-&Zc a l l . ~
CK#SI - 7~ ~ ~ + ~ I y s Y
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IFOR I NSTRUCT I ONS , SEEBACK OF FORm SCHEDULE
EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT
( R e v . 0 9 1 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTR I BUT I ONS MADE TO STATEWI DE OR LEGI SLAT I VE
CANDI DATES, L I S T T HE CAND I DATE I DEN T I F I CAT I ON NUMBER I N T HE DES I GNATED COLUMN AND THE OCHECK T HI S BOX I F
PAC CHECK NUMBER FOR EACHEXPENDI TURE. A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETH I CS & CAMPA I GN D I 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 Or g a ni z a t i o n )
G f t a 4 c ,CANDI DATE
_
NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPEND I TURE ( DESCRI BE TRANSACT I ON ) EXPENDED
EXPENDED ( 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
( MMI DD/ YR) AND PAC
CHECK
NUMBER
CK# SI P, -Ca-Ko~ $
~ o L( . l o . . row ~ . . . ~ v - ~ . . ~ . . .
sl
I D #C
3 1
l
CK# 3~3P . o o. AF S1 s . . ~ w=-
2 4 f )I . . ~ . ~ s u e - , y
b /
D#r e o
..%'; _ _. 1
I CK# 6 P - ' 2 7 1
l CK#s~~ 1 0 k , i t
o « x - . ~ 2~of
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FOR I NSTRUCTI ONS, SEE BACKOF FOHM SCHEDULE
EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT
( Re v . 0 9 / 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VEO CHECK T HI S BOX I F
CANDI 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
PAC CHECK NUMBER FOREACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORM
t T HI CS 8 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 Or g a n i z a t i o n )
s r "
CAND I DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED
EXPENDED ( 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 PAC
CHECK
NUMBER
I D#
I D# u - a .
7 /
r 1 , ~ Oa3. "
CK#
I D#
6
533
I D# L A ,
- a - AV84
CK* 6.
1 D#
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FOR I NSTRUCT I ONS, SEE BACK OF FOr I M SCHEDULE
EXPENDI TURES MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT
( Re v . 0 9 1 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VEOCHECK T HI S BOX I FCANDI 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
PAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORM
ETHI CS & 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 Or g a n i z a t i o n )
CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( D ESCRI BE TRANSACTI ON) EXPENDED
EXPENDED ( 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 PAC
CHECKNUMBER
I D# 7 1 o _ co- -Q "- - - ~
/ ov
I D # u $
I D #
CK# ?v a ~ z 3 , ,
6 ~ S 7I D# (~( 0- A - )
- ,. . ,
J 1
CK# , 5Y ( 3 35 ' . . . . ac a r ~ c . V
I D# u S C~e ~, - " -.
flJ CK# Sy2 Tl/ 70
I D# E7$. . _r . 2
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FOR I N STRUCT I ONS , SEEBACK OF FORM
T HI S FORM I S USED BYCANDI DATES ' COMMI TTEES ONLY
COMMI TT EE NAME ( M u 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 )
PART 1 - ONGOI NG I NVENTORY OF CAMPAI GN PROPERTY
PART 1 1 - SALES OR TRANSFERS OF CAMPAI GN PROPERTY
* *
SCHEDULE
H
( R e v . 0 2 / 9 6 )CAMPAI GN
PROPERTY- .
ATTACH SCHEDULE H TOEACH REPORT, MAKI NGCHANGES AS REQU I RED .
pCHECK T HI S BOX I F
AMENDI NG FORM
TOTAL VALUE CAMPAI GN PROPERTY T H I S REPORT
PROPERTY SALES & TRANSFERS TOTAL
TOTALS
$
$
( T RANSFER TO SUMMARY PAGE) $
S00
( TRANSFER T O SUMMARY PAGE) $
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