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FOR I NSTRUCT I ONS , SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI 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 an i z a t i o n)

Z E , 1 J c q A4 , I . 3I 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( 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 St a nd i n g f o r Re t e n t i o n Ca nd i d a t e ( 2 ) S t a t e PAC ( 3( 4 ) Co u nt y C e n t r a l Co mmi t t e e ( 5 ) Co u nt y Ca nd i d a t e ( 6 ) C i t y Ca nd i d a t e ( 7 ) S c h o o l B oa r d o r Ot h e r ' ' -P o l i t i c a l S u b d i v i s i o n Ca n di d a t e ( 8 ) Co u nt y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B oa r d o r Ot h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEESCa n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

O f f i c e S o u g h t D i s t r i c t ( i f Se n a t e o r H o u s e )~J a , q -10 Z S

I AM FI L I N G A 1 1 - 3 ` 0

0C 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 No t i c e o f D i s s o l u t i o n Fo r m OR - 3( Y ou 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 DR - 3 i s f i l e d . )

TEL EPHONE

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- EL EC TI ON YEAR .( r e p o r t d a t e ) I n d i c a t e b y #

CHECK I F AMENDMENT T O REPORTDATED

STATEMENT OF CASH ON HANDCASH ONHAND 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 o t a l o f a l l f u nd s h e l l b y t h e

c o mmi t t e e . T h i s amoun t MUST b e t h e s ame a s t h e c as h o n h an d a t t h e e n do f t h e l a s t r e p o r t i n g p er 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 TAKENI N T HI S PER I ODSc 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 ch e d u l e A) ( ` a l s o s e e i n - k i n d b e l o w) . . . . . . . . . . . . . .S ch e d ul 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 d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d ul eSc h e d ul e H : T o t a l Sa l e s o f C a mp a i g n P r o p e r t y ( A t t a c h Sc h e d ul e H) . . . . . . . . . . . . . . . . . . . . . . _ . . . . - - - - - - - - - - -

( S c h e du l e( Sc h e du l e H a pp l i e s t o Ca nd i d a t e s ' Co mmi t t e e s On l y )SUBTOTAL . . . . . . . . . . . . . . . . . . . . . . . $

SUBTRACT TOTAL MONEY SPENTT HI S PERI ODS ch e d ul e B: Ex p en d i t u r e s t o t a l ( A t t a c h Sc h e d ul e B) ( " a l s o s e e d e bt s a n d l o an s b el o w) . . . . . . . . . . . . .S ch e d u l e F: L o a n Re p a y me n t s t o t a l ( A t t a c h S ch e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . .

CASH ONHAND a t t h e e n 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 mus tb e z e r o ) ( A t t a c h DR - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . _ . . . . _ . . . _ . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2 DI SCLOSURE{ 1 ~ e v . 1 2 / 2 0 05 ) REPORTf o r O f f i c e Us e ONvrComm_ # _ _l o g ge d I nS c a n n e dComp u t e r _Au d i t e d

F i l e w i t h :I o wa E t h i c s and Ca mp a i g nDi s c l o s u r e Bo a r d5 1 0 E . 1 2 , St e . 1 ADes Mo i n e s , I o wa 5 0 3 1 9Fa x 5 1 5 - 2 8 1 - 3 7 0 1L 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 an 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 68 8 . 3 2 A ( 7 )

t h e c a r x f i d a t e , f o r c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h ai r p e r s o n . f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i v i d u a l r e i b l e ( f i l i n g t i and a c c r e g p r t s .1 1

TORE FI L I N G REPORT DATE S I G NED_ 5 - 1 5 - ~ - 7 3 Z z 0 3 / / _ 3 C ( f

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 Commi t l 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

" UNPAI D B I L L S ( F r o m S ch e d u l e D - A t t a c h Sc h e d ul e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $' I N KI N D CONTRI BUTI ONS ( Fr o m Sc h e d ul e E - A t t a c h Sc h e d ul e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" OUTSTANDI NG LOANS ( Fr o m Sc h e d u l e F - A t t a c h Sc h e d ul e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CONSULTANT BREAKDbMM( Sc h e du l e G At t a c he d ? ) - YES NOCANDI DATE COMMI TTEES ONLY :VALUEOF CAMPAI GN PROPERTY ( Fr o mS ch e d u l e H - A t t a c h Sc h e d ul e H)STATE COMMI TTEES : S u bmi t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e me n t i n J a n ua r y o f e a c h y e a r

C , I 03Z. 0

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F o 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

f l n c i u d i n q c a n d i d a t ( - - ' s p e r s o n a l f u n d s )COMMI TTEENAME ( 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 )CI -TI aj ' o5 f - o r SnoT

SCHEDULEIA MON17TARY( Re v 0 7 1 0 3 ) ' Rr c r I PTS

CHECK I F I I S BOX I fAMUNDI NG FORM

STATECANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED F F 4 0 MA S I AI L PAC ( P O t . I T WA I ACTI ON COMMI TTCE I - L I S T T I I C PAC J U L N i t ! t ( : A L I O NNUMBER AND THE PACCHECKNUMB[ R I N THE DFSI GNATf - DCOt l 1 MN A t I S T OF I D NUMBCRS I S A V A l t - A B I t _ F ROMT I I C I OWA L . 1 1 1 1 C S ANDCAMPA : G N NDI SCLOSURE ( 3OARUCAUTI ON : Sec t i o n 68B 3 2 A( 6 ) . I o wa Code , p r o h i b i t s d i e u s e o f i n f o r ma t i o n c op i ed f r o m r e p o r t s and 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 n t w l i o ns o ff o r a n y c o mmer c i a l p u r p o s e by a n 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

SUB- TOTALTOTAL ( i f l a s t pa ge 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 mmi 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 n r a k u q j a c o n t r i b u t i o n t o t h er o mmr n o c R e l a t i o n s I n p mus t b e s h o w n t o t h e t h u d d e g r e e o f c o n s m x l 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 o yma r n a g e ) I I S u r n ame 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 Paga I c , if a r n l i a l r e l a t i o n s h i p , e n t e r - n o t u p p l t c a b t 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 du l u AI

DATERECEI VED( MMf DDr YR )PAC I D NUMBER

( i f a p p l i c a b l e )AND PAC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT I F FOTO CANDI DATE' R FCF I VED F UND-( i f a p p l i c a b l e ) RAI SEI NCOM

~D# L Ai z g ' j ~. 5 ; w Tl - It ~ - - 1 3 C l o CK# l Po Bo x 9~ t e ;Tgao l I A 5C' Z5 - 7

l ~gv1~ N o U J S Z t i r ~CK 3u1 3 1 L o AU3 7 1NRo c Kws L l _ t I - T L / , I A 5 C) g 7 t ?1 D#

4 o xC K J t y - - S l - F ~ 3 mv ; ( g Nf r1 v u t r 1 5 Z7 l c l - ( ' C l r 9I D / t J I M

~O - - ZS- GI G CKa z 7 l ( ~ vNVl z i z l Sz s ~ = h s i1 A 10 5 0 1 -1I D#

1 6 - Z 7 - G ( ~ CK# Z ' 3 9 - ~ c 1 1 r ~ 5 0 s 4 - , 3 ,Z~ 5 .K T 1

_ CK Po g o x 1 3 o z ~~r_

Z34 C ) F D( -- T ~o~Uf f 1 4 5 05 - D II D l 1

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( 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 as o n S t a t e me n t o f O r g a n i z a t i o n )

C1i I z _ ~wS Fo ( Z S a D- Te 2

R c s c t No r m

STATE CANDI DATES NOTE : I F A C ON T RI B UT I ON I S R L CL I V E D FROM A S I A I L PAC ( P O L . I T I C A I AC T I ON COMMI TT EE ; . L I S T T H C PA C I D L N L ! ! I C A l , O NNUMDCR AND T HE PA C C I I C CK NUMBL R I N T HE D L S I G N A T I ' D ( ' O f UMN A t 1 S T OF I D NUMDCRS I S A V AI L A B I . L FROM 7 1 4 E I O V V ' A L . 1 1 4 1 C S AND CAMPA ! GND I SCLOSURE BOARDC AUT I ON : S e 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 a n d s l a l 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 ff o r a n y c o m m e 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 .

SCHEDULEA( Re v 0 7 1 0 3 )

MONETARYR EC E I P T S

CHECKT HI S BOX I t :AMF LAD I NG FORM

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 r s c k r - v - - t h e r e f a t i u r r s h i p o f a n y r e l a t i v e m a k , r x l a c o n t r i b u t i o n t o t h e.c o mm r t i v e R o k a t i o n s t n p m u 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 ( m l a U v e s D ym a r r i a g e ) . I f s u r n a 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 r w P aw , z o ff a m i B a t 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 u l l u mn ( f m S c h e d u l t ., A I

DAT E PAC I D NUMBER NAME AND ADDRESS OF COWR I BUTOR RELAT I ONSH I P AMOUNT r I F FORECE I V ED ( i f a p p l i c a b l e ) T O CANDI DATE " RFCF t V L D FUND-( MM) DD1YR ) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SENUMBER I NCOMI J A t i ~ t c o s i t f 2

CK#Z ` Z D1 7 I - 7 0 s r z o o7 ~ " o l z T ~o- 1 > 6 E ; I A 5 0 5 0 1I D# TAM~ S c f L A k 2 K1 0 - L c l - C I O CK+f ~ ~ GDX 54- 1 I A . , 5 1 3 ( - 1 - 2 - _I D# _. _g t , L I ~ ( 3 p Fl ~ t L M. 4 N1 0 - 2 9 - 0 6 CK# f f . ( e l o ~ I FU R~9 J ~p _ I

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~ C) - t 7~ c K# 1 ( ) -2 _ L 4 U - 0 4 6 , N , CS C I c . f 4 T 0 . J A v t Z5..( < A N5 r t S L y - 1 I - f , ; ~ b 1 g +1 1 7_ _ I D# C l ~ A l ~ ) 1 j I - I aRMoKA ^ i ' AS c F t 9 i v ) 0I D# ( 3 2 1 AN wc . t _ C H r T

1 o - 3 a , p ( ~ CK# C , , ~ ( +S 1 4 - 4 RA T HHt 1 V l f L ~ ~I F 100. rneT ~0 l ~ c ) L a s o sC II D# Vh I 2 S, LAI 100( - K

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FOR I NSTRUCT I ONS . SEE BUCK OF FORM Rc . s e t F o r mEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATE PAC COMMI TT EES : NOTE : F OR CONTRI BUTI ONS MADF TO STATEWI DE OR I E GI S I A T I V ECANDI DATES . L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND T I I EPAC CHECK NUMBER FOR EACH EXPENDI TURE A UST OF 1 0 NUMBERS I S AVAI LAB( F 1 = R O M THF I OWAF T r I I C S a CAMPAI GN DI SCLOSURE BOARDCOMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t o r n e n t o f Or g a n i z a t i o n )

T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :

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

CHECK T HI S BOX I FAMENDI NG FORM

P u r c h a s e s o f c e r t a i n ( - d m p a i g n p r o p e r t y c o s t i n g 5 5 0 0 o r mo r e m u 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 1 1 Wo f o r t o S c h e d u l e H I n s t r u c t i o n s )1 _ x p e n d i t u r e s t o p e r s o n s l e n t i f e s p r o v i d i n g c o n s u l t i n g . a d v e r t i s i n g . f u n d r a i s i n g . p o l l i n g . m a n a g i n g , o r g a n i z i n g s c r v r ( : e s mu s t a l s o b e d c t a n r l c m r l e d o nS c h e d u l e G b y t h e a mp u r i l 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 i e I x r s o n l e n t r l y o n t > F h a l f o f t h e c a n d i d a t e ' s c ( x m n i u e e ( l l e f c i 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 I o w a C o d e 6 8 A . 4 0 2 ( 3 ) ( i ) )

f o . ~ ~ , t : I c i ~ -

f o r s c h c r i u l c 1 3 )

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON) f XPENDEDEXPENDED ( i t a p p l i c a b l e ) ( O r s b u r s e n l e r r i j WASMADE( MM/ ODNR) AND PACCHECKNUMBERI D# _ Rug? L - . 1 2 2 = An i E . R VOLVNj HER - ( A-WMC: . A J Pq y

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FOR I NSTRUCT I ONS . SEE BACK OF FORMEXPENDI TURES - MONEY SPENT FROMCOMMI TTEE ACCOUNT

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AN D T I I EPAC CHECK NUMBER FOR EACH EXPENDI TURE A I I S I OF I D NUMBERS I S A V A I L A B t E FROM T HE I OWAE T HI C S 8 CAMPAI GN DI SCLOSURE BOARDCOMMI TTEE NAME ( Mu s t b e same as o n S t a t eme n t o f O r g a n i z a t i o n )

CmzwSF06z SG0T6R

R c t i e t Fonn SCHEDULEB MONL1ARY( R e v 0 7 1 0 3 ) I FXPFNDI TURFS

CHECK T HI S BOX I FAMENDI NG FORM

T HI S BOX APPL I ES TO CANDI DATES' COMMI TT EES ONLY :P u r c h a s e s o f c e r t a i n c a m p a i g n p r o p e r t y c o s t i n g $ 5 0 0 O r mor 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 1 I

SUB- TOTAL S) 7 , 1 90 ~5TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) I $ 1 1 ) 5 Z , C I

( 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 )

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L x p e n d i l u r e s t o p e r s o n s t 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 e r 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 Or v i c e s m u s t a l s o b e d e t a i l n u n u r n d o nS c h e d u l e G b y t h e a m p 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 mad e b y t h e p e r s o r v 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 mi n i t t c o l R u f e i I QS c h u d u l e G i n s t r u c t i o n s a n d I o w a Code f i 8 A . 4 0 2 ( 3 ) ( t )

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) T- XPENDEDEXPENDED ( i f a p p l i c a b l e ) ( t h s b u r s e me nt ) WAS MADE( MMI DDI YR) AN D PACCHECKNUMBERI D# t , I CI t i R y f , ~- ~ 7 t SL RCK# SZO0 5 ST ~r 65~ f_bAUf nJPDr Z7T , I A . J 2 II D# v l c T Or ` y ~ ~ ~E~ t n l s f S R ~ + ~ l o 8 v - - , P I Z 0 I k _ n 0 , A )I ~ ' - ~l O CK#

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