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FORI NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURESUMMARYPAGE

COMMI TTEE NAME ( Mu s t b e sa me a s o n S t a t e me n t o f Or g an i z a t i o n)I

~7/39NI I A &X/ 6A) CO# I MI I ~CI MPORTANT : I n d i c a t e b y # 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 : LJ_J( 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 i o n Ca n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) Co u nt y C e n t r a l Co mmi t t e e ( 5 ) Co u nt y Ca s d i d a i s + , r , -. , f f q h o o l Bo a r d o r Ot h e r4 14 r d o r Ot h e r P o l i t i c a lP o l i t i c a l S u b d i v i s i o n Ca n d i d a t e ( 8 ) C pf t 1, 1 -_. -S u b d i v i s i o n PAC ( 1 1 1 L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY:Ca n d Ki a t e Name- D1 4l u

ADD TOTALMONEY TAKEN I N THI S PERI OD

SUBTRACT TOTALMONEY SPENT T HI S PERI OD

I R e s e t F or m I

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 . Pu r s u a n t t o I o wa C o d e s e c t i o n 6 8B. 3 2 A( 7 )t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e, and t h e c h a i r p e r s o n , f o r a n y o t h er t y p e o f c o mmi t t e e, i s t h ei n d i v i c l A r e s po ns i bl A f o r f i l i n g t i m e l y n d a c c ur a t e r e p o r t s .

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( Yo u mu s t c o nt i n ue t o f i e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

REPORT FOR( 1 ) EL ECT I O N / ( 2 ) N ON - E L ECT I ON YEAR.

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c o mmi t t e e . T h i s amo u n t MUST be t h e s ame a s t h e c a s h o n h a n d a t t h e 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 mu s t be 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

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F o r I n S t r U d o n s o So g s g k o t F o n nC O WT R O U T I O N S - M O N E Y T A K E N I N( W 4 1 1 1 A I " W W W W ' s O W N " k e " )C O M M I T T E E N A M E ( M u s t b e - - a s a n S b k w w s t o f O W t * & % l 0 n )T ~ e - / i e L 8 L I A JJ ~ p I e d l ' 6 i v l x lA, emm E /

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0~ . ! 0 ~ 0 0s o f t & k )o w d " u m w a r e a u m C m A g " " C O W W W A W t o d i m * " " f e l a l k o w o o f w l m w % u " W " a o w * m 1 m m " t ow a w A f t e , A BWWW * f t o i n w w ' s " t o f t " m f t o w o f a w w w w * f t ( b * w m m a A l t ) a f t $ * # s ( M W * 4 6 b y f t p/a tf a m m W i a l r e k o b w a h o , e m w * n o a p p h c o W i n e m m f t b o r o h o O o k " o w 3 d W & A * A )

C H E C K T W S 4 0 X I FA M I N W4 F O R M

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RECEI VED ( 0 " PkA" ) TO CANDI DATE , RECE"D F L I N~MWDONR) ANDPACCHSCK ( i f a p o k " 1 0 ) RA I SNum"R I NCO- 7 7 -0wa - med , c a I l o t q CJ C > 6 1 C~y -, J A . ) j 4KeNUe $CKO 9 7 7 l v e , 5 ~ D ? - ; p i o l l u e s , - ' r 4 " 6 0

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Fo r I n s t r u c t i on s , Se e Ba c k 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 l f u n d s )CO.MMI TTEENAME( Mus 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)7-he01w1 i 114. 1~wprdl o i ' , I a i l ~Aj Czmm6, oc

SCHEDULEA MONETARY( R ev 0 7 / 0 3 ) 1 RECEI PTS

F- j CHECK T HI S BOX I FAMENDI NG FORM

STATECANDI DATES NOTE : I F A CONT R I BUT I ON I S RECEI VED FROM A STATE PA C ( P OL I T I C A L A CT I ON COMMI TT EE) . L I S T THE PA C I DENT I F I CA TI ONNUMBERAND T HE PAC CHECKNUMBER I N THEDESI GNATED COLUMN . AL I S T OF I D NUMBERS I S AVAI L AB L E FROM T HE I OWA E T HI CS ANDCAMPAI GND I SCLOSURE BOARD.NOTE: ANY PERSON, OTHERTHANAN I NDI V I DUA L, THAT CONTRI BUTESMORE THAN $ 7 5 0 TO YOURCAMPAI GNMAY HAVE F I L I NGR ES PONSI B I L I T I ES ANDSHOULD I MMEDI ATELY CONTACTTHEBOARD.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 ma t i o n c op i e d f r o m r e p or t s a nd 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 ns o r f o r a nyc o mme r c i a l p u r p o s e b y a ny p e r s o n o t h er 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 .

SU I OTAL $ I t oW. UU, $ 2

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 a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e i 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 a c o n t r i b u t i o n t o t h ec o mmi t t e e . R e l a t i o n s h i p mus 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 ) a n d a f f i n i t y ( r e l a t i v e s b y o fma r r i a g e ) . I f s u ma me o f c o n t d b ut o r i s t h e s ame a s c a n d i d a t e , b ut t h e r e i s n o P a g e - -~L-f a mi 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 e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR R EL A T I ONS HI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MMI DD I Y R) AND PACCHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# C 4 - A J 4 2 t V CX 6 0 , ~ 1, PA, 1 h 0 r j

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Fo r I n s t r u c t i o n s , Se e 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 l f u n d s )COMMI TTEE NAME( Mus t be s ame a s o n St a t e me nt o f Or g a n i z a t i o n ), f l v e ~kwlel dAzw4wAe6116&) 6~00J~

SCHEDULEA I MONETARY( R e v . 0 7 1 0 3 ) RECEI PTSF - 1 CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE ; I F A C ON TRI B UT I ON I S R E CE I V E D FROM A STATE PAC ( P OL I T I C A L A C T I O N C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND T HE PAC CHECK NUMBER I N T HE DESI GNATEDCOLUMN . 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 E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE: ANY PERSON, OTHER THAN AN I N D I V I D U A L , THAT CONTRI BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GN MAY HAVE F I L I N GRESPONSI B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THE BOARD .CAUTI 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 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 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 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 .

SUB- TOTALTOTAL ( i f l a s t p a g e o f t h i s s c h e du l e )

* 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 mm 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 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 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 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 ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) . I f s u ma me 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 n o P a g e -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 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 u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MM/ DDNR) AND PAC CHECKNUMBER ( i f a p p l i c a b l e ) RAI SERI NCOME0 6 Nx 6 a *I D# Ma - $CK# 7 1 5 t Ce ,( 4 4 - T - 6 4 - k r a -

( > Ct q lI D# ( 11 1 Z 1 5 -CK# 261- 7 Cl v e 0i o1 1 3 # .,~C

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI 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 n i z a t i o n )

_ &j j j l Jj ' t j A- 11WpnaA) k ) , e Cj 1 d AJ GJAWJ Z~efSTATE CANDI DATES NOTE : I F A CONTR I BUT I ON I S RECE I V ED FROM A ST AT E PAC ( P O L I T I C A L AC T I ON COMMI TTEE) . L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .NOTE : ANYPERSON, OTHERTHAN AN I N D I V I D U A L , THAT CONTR I BUTES MORE THAN $ 7 5 0 TO YOUR CAMPAI GNMAYHAVE F I L I N GR ESPONS I B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT T HE BOARD.CAU T 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 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 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 .

SUB- TOTAL $16a i 0 o$ joj , ~4 ~ ~ ' e j I1 0 CA L . ( y , a s , p a g e o t t h i a s c h e du l a ,

* 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 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 m m 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 wn 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 b ym a r r i a g e ) . l f s u ma me o f c o n t r i b u t o r i s t h e s a me 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 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 e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A )

SCHEDULEA MONETARY( Re v . 0 7 1 0 3 ) RECE I PTSF - 1 CHECK T HI S B OX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI B U TOR RELAT I ONSH I P AMOUNT I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECE I VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# 0 / - , 7Z101 A" I c e $CK# 6 ~ 7 6I D# C06( y J .CK# / L I S . ( 6 -0 ,

0 c f I D# A 1 o rYZ CK# / I - A p S( -"- e fL I E MHI ~S~ Ze t " ' A . 5 - 1 6 . 3 1 '

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cJ I D# Al l - 0 0 , e- -F- -M1 221o pee s f i ~ ~ 6Z 6 t t CK# J, ~V7 WW-4sA S S V-0WA ) Ar / ~q l dX -2W. CI O4ve l I V6 ) T4 -oc~ ZA

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :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 $ 5 0 0 o r mo r e mu 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 e n 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 er 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 mu s t a l s o b e d e t a i l i t e mi 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 r k / e n t i 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 mm i 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 l o v w a Co d e 6 a A . 4 0 2 ( 3 ) ( i ) . )

Page / - - - - - o f

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

I R M 0 0 Tbr W- JFOR I NSTRUCT I ONS , SEE BACKOF FORM SCHEDULEEXPENDI TURES B MONETARY- MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

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 D ENT I F I CA T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI 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 O r g a n i z a t i o n )7 1 - e

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 me n t ) WAS MADE( MM/ DDI YR) AND PACCHECKNUMBERI D #

" L k ~ e 7i2 YA d e Cd Me l ~3/ 1 I V- VV A I - %- 3 0CK# / / q - 7 -S~~oQC?0 1 $' 1/ Z

I D # - B a r i y ( ) A . ) ~ v a I Se i - - 11 b t YCK# Z- 4 - ' s 7 e i ?I D # 1 - n a t ' P e l i e k 0Al Z J E, / V' / A . J f 00CK* / L i a '

j , o / I D # i 4 e r e / ~ - e e 11 , 04 r mehk~CK# / / ,S -oI D #CK#I D #CK#I D #CK#I D #CK#

SUB - TOTAL $TOTAL ( f f l o s t p a g e o f t F i l s s c h e du l e ) $77%