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FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

CANDI DATE_ COMMI TTEES ONLY:C a n d i d a t e Name P o l i t i c a l P a r t yU?Eq( . awlO 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 )6 1 5 W A - -M 0 2 1 1 5 'SI GNATURE OF TREASURER( o r p e r s o n f i l i n g t h i s r e p o r t )

L at e f i l e d r e p o r t s a r %s u b j e c t t o p o s s i b l e c i v i l a nd c r i mi n a l p en a l t i e s .SEE I NSTRUCTI ONS ON BACKANDCOMPL ETE THEFOLLOWI NG SENTENCE:I AMF I L I N G A

SI S17G. a s o dTEL EPHONE

REPORT FORA N/ A ( ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .( r e p o r t d a t e ) I n d i c a t e o n e

HECK I F AMENDMENT TO REPORT DATED

n Che 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 DR- 3 .( Y o u m u 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 . )STATEMENT OF CASH ON HAND r -

CASH ONHAND 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 db y t h e c o m m i t t e e . T h i s amoun t MUST b e 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 e n do 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 m u s t b e z e r o i f t h i s i s f a s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR-Z I DI SCLOSURE( R e v 0 7 / 2 0 0 3 ) REPORT

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L o c a l Co m m i 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 mm i 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

0ADDTOTAL MONEY TAKEN I N THI S PERI OD $ 1 6 1 0 I ~ t o 00S c h e 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 S c h e d u l e A ) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . . ~ Z Q 7 0 . o - - 0S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H: T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ! ~

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

SUBTRACT TOTAL MONEY SPENT THI S PERI ODS c 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 S c h e d u l e B ) ( " a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . .S c h 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 c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND 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 D R - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y ~ l ~ _ . h , 5 0~ . . . . . . . . . $ 1 6 1 4 6 7 ~~" UNP AI D BI L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ -" I N K I ND CONTRI BUTI ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" OUTSTANDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ yCANDI DATE COMMI TTEES ONLY:CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? ) DYES ' " ' NOVALUEOF CAMPAI GN PROPERTY ( F r o mS c h e d u l e H - A t t a c h S c h e d u l e H) $ Q

COMMI TTEE NAME ( Mu s t b e s ame 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 )P e p F o r ORI c e Us e On li , 6 - 6 6 4- 6 1C c omm. # ; -

I MPORTANT : I n d i c a t e t y p e o f c o m m i t t e e y o u a r e r e p o r t i n g f o r . L o g g e d i nS c a n n e d( 1 _ ) S t a t e w i d e / L e g i s l a t i v e Ca n d i d a t e ( 2 ) S t a t e w i d e PA C ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l Ca n d i d a t e( 5 ) C o u n t y PAC ( B ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e C o m p u t e r f a , ~ 1 - IA u d i t e d - e--


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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 TTEENAME ( Mu s t b e s a me 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 )PI L " C F '

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PA C ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PA C 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 VA I L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAU T I ON : S e c t i o n 6 8 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 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 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 rf 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 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 .

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 h i p o f an 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 mm 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 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n ame 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 of 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 .

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Fo r I n s t r u c t i o n s , Se e B a c k o f F o r mCONTRI BUTI ONS - MONEY TAKEN

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STATECANDI DATES NOTE: I F A CONTRI BUTI OINUMBER AND THE PACCHECK NUMBER I N THE D IDI SCLOSURE BOARD.CAUTI ON : Sec t i o n 68B. 3 2 A ( 6 ) , I o wa Code ,f o r a n y c o mme r c i a l p u r p o s e by a ny p er s o n o f

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0- - 8- 0 Co 0D 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 ommi t t e es 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 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 mu s t b e s h o wn t o t h e t h i r d d e gr 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 yma r r i a g e ) ( Se e Pa g e 2 o f f o r ms pa c k e t . ) . 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 , bu t t h e r e i s n o Pag eZ~ o o ff 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 )


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FOR I NSTRUCTI ONS, SEE BACK, - - ORMDI SCL OSURE SUMMARY PAGECOMMI 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 )&OPT / - 6 2 25LALc .I 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 :( 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 v A 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 an 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 r C a n d i d a t e sCANDI DATE COMMI TTEES ONLY:Ca n d i d a t e Name . . - 4 o l i t a l P a r t y

O f f i c e So u g h t h / I I : I Y 1 2 0 0 2 Di s t 4 t ( i f Se n a t e o r H o u s e )

- 5 - > . - S7 6 , ~ . 0`SI GNATURE OF TREASURER ( 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

Ro 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 Re po r t s Range f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AND COMPLETE THE FOLL OWI NG SENTENCE :I AMF I L I NG A 0 - 5 - , / 5 9 200Z( r e p o r t d a t e )OCHECK I F AMENDMENT TO REPORT DATED

El C h e c k i f t h i s i s f i n a l ( t e r mi 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 DR- 3 .( Y ou mu s t c o nt i n u e t o f i l e r e p o r t s u n t i l a No 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 HAND

ECTI ON / ( 2 ) NON- E L ECT I ON YEAR.

ADD TOTAL MONEY TAKEN I N THI S PERI ODSc h e d u l e A : Ca 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 Sc h e du l e A) ( * a l s o s e e i n - k i n d b e l o w) . . . . . . . . .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 d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a p p l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l 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 u l e B ) ( * * a l s o s e e d e bt s a n d l o a ns b e l o w) . . .Sc h 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 Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND 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 ce mu s tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMD R - 2 DI SCL OSURE( Re v . 0 1 / 2 0 0 1 ) REPORTF o r O f f i c e Us e OnComm. # -I n d e x e dA u d i t e dComp u t e r -

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CASH ON HAND a t t h e b eg 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 db 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 ame a s t h e c a s h o n h a n d a t t h e e n d Oo 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _ _ __- - __-_- -

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' " ' UNPAI 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 d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h e du l e G At t a c h ed ? ) 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 ed u l e H) $


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For I nst ruct i ons, SeeBack of FormCONTRIBUTIONS- - MONEYTAKENI 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 St a t e me n t o f Or g a n i z a t i o n)

-C, ' 1 6 LL~

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 )

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STATE CANDI DATES NOTE: I F ACONTRI BUTI ON I S RECEI VED FROMASTATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI FI CATI ONNUMBERANDTHEPACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARDCAUTI 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 use 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 and s t a t e me n t 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 rf o r an y c omme r c i a l p u r p o s e by 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 es .

SUB- TOTALTOTAL ( i f l as t page o f t h i s s c h e d ul 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 ommi t t e es 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 an 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 ommi t t e e . R e l a t i o n s h i p must b e s h o w n t o t h e t h i r d d eg 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 ) an d a f f i n i t y ( r e l a t i v e s byma r r i a g e ) ( See Page 2 o f f o r ms p a c k e t . ) I f s u r n ame o f c o n t r i b u t o r i s t h e same 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 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 ul e A)

DATERECEI VEDPAC I D NUMBER

( i f a p p l i c a b l e ) NAME ANDADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FOR( MM/ DD / YR ) ANDPACCHECK TOCANDI DATE'( i f a p p l i c a b l e ) RECEI VED FUND-RAI SERNUMBER I NCOMEI D#TCoPC- t

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6/36

Fo r I n s t r u c t i on s , See 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 ( 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 )

f 2PK ' P) CASTATE 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 AC T I ON 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 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 .CAU T I ON : S e c t i o n 6 8 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 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 rf o r a n y c 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 es .

TOTAL ( i f l a s t p a g e o f t h i s s c h ed 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 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 mm 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 yma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) 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 am e a s c a n d i d a t e , b u t t h e r e i s n o Page . 1- 0 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 S c h e d u l e A )

SUB- TOTAL

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECE I PTS[ l CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTR I BUTOR RE LAT I ONSH I P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DD/ Y R) AND PA C CHECK ( i f a p p l i c a b l e ) R AI S ERNUMBER I NCOMEI D# 7 BAOWV /c K# r KA I N s- , c U2 I e , zl 1 S t S 3I D# --~ L J f I l ( . ' ' c . y _SA n J CC.

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Zj ' K( - CY 23 J Cn6&( .CK# 607 &0064 I > l ~ l t f t C} z )AJ AA~ , s L , v ' ' l Z I aZ _I D# 4 l t C' i EL c . E i . : , l r ' Z t . L - i ` - rCK# P n c h ~ I S 7 / AD At r , U - c , T y y

_ j t t r 4 P l t i 1 A , - PE tI D# JAPJ6 Zb ( A f 2 L c s o r )c K# At I Z4 v k rbw ~ ,AS-e ) 6 lI D# C , . U t a s c P 1 4 ac ew. A r t )

~~~ t ) D ; 2 - CK# I t s / J - A I k ( 5 An A S AI cI D# l ~ k At e q LO t k A l v v k - P V - 6

V C - CK# 1 q I I Ai . -I t o r Y Si . / eQ . o~ob E ~ - . aI D# e AW/ JAMt S J A n 1 V ( . , - ' I A )` 0 CK# - SI GCOr bETOc VI V c : I I I C C L E, F

,L~AJ , / 1 1 o 3 a vI D# I t t , , S . l t t c r SALCT?4L- ~o CK# 2 3x ' 1 - 2 0U A+ / C / d o, rr ' r . n vD6E, ~~~ , So Sa l


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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 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)

C.: Ct PCE FOK 75E. A ( - 1 . . -STATECANDI DATES NOTE : I F ACONTRI BUT I ON i s RECEI VED FROMASTATE PAC( P OL I T I CAL ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBERANDTHEPACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCL OSURE BOARD .CAUTI ON: Se c t i o n 688 . 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 mat i on c o p i e d f r o m r e p o r 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 o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e by a ny p e r s o n ot 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- TOTAL

TOTAL ( i f l as t page o f t h i s s c h e du l e )D i s c l o s u r e l aw r e q u i r e s c a nd i d a t e c ommi t t e es 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 an 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 ommi 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 deg ree 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

ma r r i a g e ) ( Se e P a g e 2 o f f o r ms p a c k e t . ) . 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 , bu t t h e r e i s n o P a g e 3o ff 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)

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS

[ ] CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d 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 PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# j I " t C n ) C:

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Fo r I n s t r u c t i on s , See 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 ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

r0r , PLEA ( - t - - -

SCHEDULEA I MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS

CHECK T HI S BOX I FAMENDI 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 A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER ANDTHE 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 E T H I C S AND CAMPAI GNDI SCLOSURE BOARD.CAUT 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 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 rf o r a n y c o mme r c i a l p u r p o s e b y a ny 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 .

SUB- TOTALTOTAL ( i f l a s t page 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 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 mm 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 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . 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 am e a s c a n d i d a t e , b u t t h e r e i s n o Pa ge - -o f ' - t of 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 NAMEAND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 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/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# ' S i J ~/ r . l i . l L ~

6 3I D# -

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0 4 1 0 & / 0 2 - CK# 4 5 1 2 . CI EDAe LAS A4 3a D d3T l . 0 Kt s PA4K, r v t AJ ~~ / - 3 7I D# t Kj &w- u , J ACI < Z4 S 0 A/a ~ / o & / a z CK# 1CG0Ka< - 2 A ~ s ' a . oaU/Ol ~/O . 2 - cK# 1 2 46 - o l + l r Z3~?0 .9- , bob E , aA5 56 l l Sd. D aI D# JWJ AA1 I I R- ( A- )0 /0 G/ DeZ CK# / 0 0 F l 1 L L~R / 2 - D /i 3 ' - , 1 ) D E , ~ 5 , 0 5 6I D#0 4t o &%- z . CK# 43f - / a -- L4 AVM. l J . l Q- r - - Doa : : 1 - A SOSOi


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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 F o 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 TT EENAME ( 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)

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I CAL ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBER ANDTHE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L A B LE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARDCAUTI 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 nf 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 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 rf o r an y c o mme 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 e s .

D i s c l o s u r e l a w r e q u i r e s c a n di d a t e c ommi 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 ny r e l a t i v e mak 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 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 nd a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s no P a g e o ff a mi l i a l r e l a t i o n s h i p , e nt 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 ul e A)

SUB- TOTAL

TOTAL ( i f l a st page o f t h i s s c h ed u l e )

SCHEDUL EA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTSQ CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J 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 PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# , J I I ? f G ' NE-AL._

0 4 I b b ( DL CK# ~ I Z0 a6i 4 0 ^ j r 2D Wi f 6 4 ' 5 0 0 . 0 0r , D 0 D ( , c . SDS' 0~I D# A l t i a p e r _ 4 64Ay0 4 1 0 ( o / DL

CK# ~ ~~o c ' b P 2 . " 3 AsdS9. S- 1 5 -19 , 0 AI D# R. ( d I E. Y _ ( - 6 O _ ( _ > 4

o l u ~ i / o Z - CK# 03, 0 5 1 - r AVt s ( ) . 00. f - ~ Dcb c ~r , r '. . Z A . 5 1 7 S- o /I D# K i w t VI t i Or L0 010 9 0Z CK# 3 J b g N s a w l ? c . .bab&c a -A S' o s o0416q ~ 2 CK# / 0 0- 0o~ ~ - - DaD s v sD ~I D# J t c o N CGSGbv c0 ~ ~ 6 9 ~ 7 z CK#

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o n ~~ CK# MA/ r k j s & & r J : r r ~ ~ ? 3 l o ( ! . ~ ~CK# r T , b ( 0 o f v ~ 5os t ~ -


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Fo r I n s t r u c t i o n s , Se e B a 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 o n St a t eme n t o f O r g a n i z a t i o n )P6( - " P C . E" . rC ' r ~ P 3 , CAt . . L - .

SUB- TOTAL

SCHEDULEA( Re v . 0 6 / 9 7 )

TOTAL ( i f l a s t page o f t h i s s c h e du l e )

MONETARYRECEI PTSCHECK THI S BOX I FAMENDI 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 C OMMI T T E E ) , L I S T THE PAC I D EN T 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 A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI 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 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 rf o r a n y c 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 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 ommi t t e e s .

" 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 gu 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 , rma r r i a g e ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) . I f s u r n ame 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 Page o f.~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 RELAT I ONSHI P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI V ED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# VF. . L ME > 5 C r & QS T0~ j l ~ l d v CK# Af t N ' '

I D# i : ~ i p y~1T ~D~{ MC fCK# -: : o 1 s S- K - H A a ) c AO

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I D# PAXt o 1 A S' r b t / L I Y t C. Al bCK# ` 5 , , , - t S T - - x t - Z 0 : ~0 Zcz I ) C S w, 3 , . 5 03 1 2-I D# AMAC o 6 i 1 ( . A 0 l

' CK# 7 1 C CAS- 1 ") 3 v . t r _ j LA < J E

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CK# 73 t ~ ' i t j At J A Df ZWc / f t f . C - t f

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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 ( Mu s t b e sa me a s o n St a t e me n t o f Or g a n i z a t i o n )

] ) Ca ds ~ L . . .

SCHEDULEA( R ev . 0 6 ! 9 7 ) MONETARYRECEI PTS

~ ] CHECKT HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F ACONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBER ANDTHEPACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD. 'CAUTI ON: Se c t i o n 68B . 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 mat 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 ns o rf o r any c omme r c i a l p u r p o s e by a n y p e r 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 page o f t h i s s c h ed 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 es t o d i s c l o s e t h e r e l a t l o n s h i p o f an 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 byma r r i a g e ) ( See Page 2 o f f o r ms p a c k e t . ) . 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 ut t h e r e i s n o Pagef a mi l i a l r e l a t i o n s h i p , e nt 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 RELATI ONSHI P AMOUNT d 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 ) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D#

_r P4 P_ K j j i 4 A- SYq

64I ZZ. / D Z- CK# 2 - e t 1 - r 4 - AJ-, . Al b . AP- r - Z $ nI D# 1 ~ U J ~ J L ! A i ` i r ~ P ~ f 1 ~ . ' F ML L . i 1 ~ c )

0 d %l L Z CK# 'y i I S t - z 1 z - r SI r .I D# 5Ad>A4A r n 4PTi r JCK# 243k ~Hi i r r ~ L; k ~eI D# KAc t i nOv~ "' > ~ O , i a V i n ) ~

. ~ CK# Z~ ~ t - 4 r = i AVE . d U l S d c ~" t - ` T , O - 3 -Aj 690 1I D# L AUU1 g o s r l l b t r ' AlC O i , Q n ) ; A k L .

I D # Si - 11 , 0 4 _ 4 ( , t i L ,L

a w22/ C. L CK# 3 1 0 1 - 1 - 1 A1 : ' .: - 1 4i f i! . Df Dt > ~ . = iI D# J 6 q t ' f r / / / - 1 A t s a A)I D#

_r A S f ~I D# At zt r m I / Ai 0 t r L d aAM#q

C60" ' AA f . ) S =" A 5 03I D# J r - F r r c ; b r - . S


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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 a s on S t a t e me n t o f O r g a n i z a t i o n )

f i r - c , c . e Fc ) K P56Af - L-

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

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON 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 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 .CAU T I ON : S e c t i o n 6 8 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 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 rf o r a n y c 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 es .

" 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e R e l a t i o n s h i p mu s t b e s h own 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 yma r r i a g e ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) . 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 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 m n . ( f o r S c h e d u l e A )

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECE I PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE ' R ECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ERNUMBER I NCOMEI D# 3 t Mm( ~ 4 Jc f vmAo - --CK# 6Sq c o r " A - 1 2 - 0 A t f JC- v ANS t i i CL . i r , W4 - 7 7/ ~ - e 4 , 2" I D# ~O o f y 7~ , AQN~I r PCK# JO 4 1 ~ 03SAP- A J L a S AACXZ-A S -1 3 - 3 1

i a ) D i t S / 7 i o i n hc 1 , - -r A . . - L a fi g s p DI D# ) 1 QA : ~ r 6 R / i 0 ( 3 &P-G7 ~1 " 2 ~ / 4 : . CK# F, , 4 u ADJ a r c J

I D# n i c c ~ %E C c . t s ~ c c i c AS t - ~7 1 PT , , 1 ~ , i j c uE Sc`a 1

I D# ~ r e i c . - C- T -e ) e c0 q / 2 S j d . x CK# 2_ZZY CGN, I Ku2i ; , T - ,t a r- . Twbo r , : J : A Sc Sc (

I D# ~ ( i SI L ( r c t L / AAJ) t / ~S/ CZ CK# I ZZQ, - I C" - I a J CNc . 30 . ' a Sl ~T , D 0 i * 3 - E -- CA Sf 5 5 0 /I D# y / ~ / ( f , - e v

CK# l f ~ l edcu~4 c . ~ , j S. d d; ) bbGC, =7 1 50i O/

I D# , ~ I l ~ i i F~ h t ; l , C . c ~l 6c c t t ~CK# > ~SoS6f- / ) 0 a ,I D# ~ .1 , 4 ACc S l ~ u a ~- c SCK# 1 x - , 2 1 6c / - c e L eL r - ST - b , - -I = -- r a Sor o l


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Fo r I n s t r u c t i o ns , See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( i n d u d l 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 sa me a s o n St a t e me n t o f Or g an i z a t i o n )

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMASTATE PAC( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBERANDTHEPACCHECKNUMBER I N THEDESI GNATED COL UMN . AL I ST OF I D NUMBERS I S AVAI LAB LE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCL OSURE BOARD.CAUTI ON: Sec 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 f o r mat i o n c o p i ed f r o m r e p o r 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 o n t r i b u t i o n s o rf o r any c o mme r c i a l p u r p o s e by any 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 page o f t h i s s c h ed 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 es 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 an 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 be 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 byma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . 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 er e I s n of a mi l i a l r e l a t i o n s h i p , en 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 6 1 9 7 ) RECEI PTS[ E CHECK THI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAMEANDADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT J 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) ANDPACCHECK ( I f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# L 1 - , J t i r c . C. 5CK# - y ~ A SO;,

K~d ~~C- mss ~ :CK#I D# ~l j C.

_~ 10 7 ` + x . /

C ~ ~ /. z S6 CK# 1 C ' 6 c , i r C 6 t , c T -I D#

0 4 1 2 S 1 0 2 - CK# i ( . S i n lI D# U4UZA OCS 0 i f ~ lg a s - J 6 . z7- YJT-a~ CK# ed i t s / ~0 1 - ~T, DuDvC aA SeS0 !I D# e 6 v kJ6Ty ( , c f ASr v fCK# qb , ! 15 ; C- E D4 - , -- r 7- c ~ 3 - ~ . v l S4 EA u - ~/ " 0 4 , 46, ZA . S~1s - ' - 4 / 7 ( v uI D# A]

D , 1 CK# . x lI D# C 4 1 ( O , e - i S f 04eCI S OA- )CK# ms s-0M, o v .I D#

D, e" oi - r T . DG~ ~ Sa JC I `I D# L , - a, ~ e . Ht u~t y


14/36

Fo r I n s t r u c t i o n s , Se e Bac k o f F or 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 TTEENAME ( Mus 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)

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I 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 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 f o r ma t i o n c op i e d f r om r e p or 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 n t r i b u t i o ns o rf o r any c omme r c i a l p u r p o s e by 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 ommi 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 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 di d a t e commi t t ees 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 ny r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p must 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 nd a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) ( Se e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r i s t h e s ame a s c an d i d a t e , b ut t h e r e I s nof 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 umn . P a g e / C o f( f o r Sc h e d u l e A)

SCHEDUL EA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS

CHECK T HI S BOX I FAMENDI NGFORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI 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 PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# %YAZl f t ; J Or i AI ~ f . A - %

QqLq14 7 - CK# L SW- I ~ t d AVC" J c $ 1 ) i- - ~ Dcb& r , - - i ) a So ~~I D# - b t r N A p , r JCK# 1 1 3 C0 ; l j L y v l i AL , o

I D# S t - ~ I J ~ y " ~ I t i S I I n v r ~` ' l 1 2 - ~ / CK# - f . f 7 i 1 0 _ 4 SVSC~I D# LA, 4 42K

FI . ' ) G0bC SSA TGJO) D # J Cr 4 N i 4 A - L &r V 1 2 ~ 9 o Z CK# 1 z . 3 0 r v u l %

~l ' b C - 0. baDu , . -- v 1 t ) S o fI D # ( . , / i U J A NEAdo- r vq 1 2 ( V1 0 2 , CK# L 4 - 7 - 0 1 A y r JG' . 1F7 . Do~~ , s: So

I D #CK# 31 7 1 r t ~ r ~ e - ~ - I ov ct ~ : a u ~ , -~~ r )39I D #

I D# - vc C ' l 1 i t ~ 1 . Y ~ t j C - C . 1 1 t r c ~ . s/ c L 1 w~~- . y z s~ l Zy(CZ CK# l ) ; ~ A/ c s C0 , ~ , J = r e , SQ Z~ 1 / C. /


15/36

F o r I n s t r u c t i o n s , Se e B a c k o f F o 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 TTEENAME ( Mus 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)

1 2CcPI -G rGK paEALL. -

SCHEDULEA MONETARY( R ev . 0 6 / 9 7 ) I RECEI PTS


STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBER ANDTHEPAC CHECK NUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCL OSURE BOARD.CAUTI ON : Se ct 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 nf o r ma t i o n c o pi 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 n t r i b u t i o n s o rf o r an y c omme 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 .

SUB- TOTALTOTAL ( i f l a st p ag 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 ommi t t ees 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 ny r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi 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 nd a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) ( S e e Page 2 o f f o r ms p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b ut t h e r e i s no P a g e / ~ o ff a mi l i a l r e l a t i o n s h i p , e nt 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 umn . ( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DAT E RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( H a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D#

6 2 - CK# i q r 2 - 16 T +A- I c ~I D# Tj C, J So r t u l t r J ~wu A~l wCK#

~d . OG"

. Dl Ar t 1 A A1" "( , ( /.ICG / ( f ~ Z ~CL CK# - ) t o y - c ) ' r ~ r AL I . / j ,I D#

0 ~ ~ Z~ 1 C v CK# ! 33? Yo A ) , / t l / A ) 'p u b% .::. I A S ' ( )I D# Si - l 1 ~ l . E - f r - A I T - _6 y d ~ , CK# ZSz - ? - ZZAR A4 .. n j :t T - Dc ~ c > ~ ~~ vs pI D# C' u ~' Q( . Pv { c ) C S~ L / / , ~ C~ CK# 2 S f s L l - Z2NQ AV .

mi l .

, = CD l S:: ' j K L _ 4 ' aI D# CS' d D C . / . ) 1 2 - 5 G , ' i !CK# ( S 2 I - / j , b v l ) SC wS / t i S- f" 1 I c l - i c - c c . S ~ s~3L

64' 1; 2 q/ CZ, CK#l . ( l 1 ( . : -

I D# A-A4 J . / r . . . - i l S b f l .6*0/ 07 - - CK# ?3 1 C / Z h ed


16/36

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 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 some 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)pCC' ( ' CEFv

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACT I ON COMMI TTEE) , L I S T THEPAC I DENTI F I CATI ONNUMBERANDTHEPACCHECKNUMBER I N THEDESI GNATED COL UMN . A L I S T OF I D NUMBERS I S AVAI LA B LE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 68B . 3 2 A ( 6 ) , I o wa C od 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 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 on t r i b ut i o ns o rf o r an y c o mme r c i a l p u r p o s e by 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 .

TOTAL ( I f l a s t page o f t h i s s c h ed 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 l a t i o n s h i p o f a ny 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 must 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 nd a f f i n i t y ( r e l a t i v e s byma r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) 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 ut t h e r e I s nof 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 .

SUB- TOTAL

P a g e A- 2 o f( f o r S c he d ul e A)

SCHEDUL EA MONETARY

( Re v . 0 6 1 9 7 ) RECEI PTS[ ~ CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J 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 PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

5 1 6 7 - 1 0 Z -I D # ~l ( i L l n i l t i k . ( ~ C u c . , c c c c v o wCK# 3 0 , o . a ~D#

Z / 0 CK# C - 1 ~oa eY 1 4 / L / S o / J R -~ [ ) a E - 0 3I D #~ + J ~ r ? G/ ~ 1 Z CK# I ) " ~ I - AJ 1L i t ~ ~ Ct 1I CE . 1e ) ~ ~ ~ ~ s o -- -DA J c ~ S I ~ JI D # l v ~ , r l ~ ; T , . ( / A. r n / r J i c / C -

i ~ ( J CK# ~ f ( 3 AUST> i uI D # . i J

( ' ~ j / O~ 6 Z _ c K# 2zc c l r i ' a & z . A ~ - s - r ~ 1 W , e )D-0D6~ -:-A

I D#

~ l S~C2 Q2 CK# ( C ~ l 5 -W, i r LAKES a e . b , G' D/ T L A Aj S6 r J 6 l s ` ; 3I D# - ~

~~CZ/ OZ CK# / I ~ , 1 0 ( - A r c s d A L ) . G t U ~ 'AL . . I S OJJ 3,,4. Sc,S6 0 =SI D#f 3 C , t i l - - b L 41 - / VL c

. 1 1 7 . D6 1 3 r , SGJ Cl ~ ~ Q1V r ~ L7 GJ r - ~ ' Z . 7

C' . Sf~ l . C CK# Z j ' ~ : ~ c x A 2 r n : E - Ad ! i i iI D # S 6 ` v { n r r J

G f J f l r L~7~ CK# l t ; GZ - / ( j ( f k t - ; ;Ty' " l- 0 0 1 ) L - E : . 3 " l J J ! ?


17/36

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 mC ON T R I B U T I O N S - - MONEY T A K E N 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 same a s o n St a t e me n t o f Or g an i z a t i o n)

TOTAL ( i f l as t page o f t h i s s c h ed u l e )

SCHEDULEA( Re v . 0 6 / 9 7 )

MONETARYRECEI PTSQCHECK THI S BOX I F

AMENDI NG FORM

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECE I VED FROMASTATE PAC( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PACI DENT I F I CAT I ONNUMBER ANDTHEPACCHECKNUMBER I N THEDESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON: Se c t i on 68B. 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e use o f i n f o r ma t i o n c o pi 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 on t r i b u t i o ns o rf o r any c omme r c i a l p u r p o se by 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 ommi t t e es .

SUB- TOTAL D$( I 7- >-

D i s c l o s u r e l aw r e q u i r e s c a nd i d a t e c ommi t t e es 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 an y r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p must b e s h o w n t o t h e t h i r d d eg 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 ) and a f f i n i t y ( r e l a t i v e s b y . 4 . 4m a r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r i s t h e same 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 13 o ff a m i l i a l r e l a t i o n s h i p , e nt 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 umn . ( f o r Sc h e d u l e A)

DATERECEI VED PAC I D NUMBER( i f a p p l i c a b l e ) NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FOR( MM/ DDI YR ) ANDPACCHECK TOCANDI DATE'( i f a p p l i c a b l e ) RECEI VED FUND-RAI SERNUMBER I NCOME

I D#

0 S f G Z %L CK# ( . z ( S o D ~ .I D# &0 G ~ . C a Cv r d l / i L i r TCG C. : ) p 6 l ( . i i , CAL E 0a t c A r r p 1 0

US 0Z ~Z CK# Af t - 2 I 0~A~L~CsE ( , Si ~. H~, ~T ~ C) . ~C1s . ~ , c i . . v c J , - i A . 50 3 17

I D# ~ ' - c 5 ( / Y l COI L ,ZZ. CK# ~0 t a + ~ C y + i 1 c . Y 2 . . J , 0 0I D# _

o z . CK# 3 1 z 0 qon+I D # t ) &Ak ) . J E. > J Z CZ 6

- CK# ? - i ' 6 - - ' ( s r , 7C ) jI D # SMDL( ( 1 C - ,DS10 6 L CK# P , 0 . - D o / Z ! 1 206. ESO Z~I D # WAUMK . NaPeAJ0 5 / 0 4 ' 0 Z CK# T&22 . SW ' 6 0 u d o . " y s r 6 - 0 . 0 , 6. 2 A I - 1 0I D # CAAMi i +. n1 ebWARZS -6Sj Wl 0z. CK#, P. o ; b 3295 . / 0 0 . 6 06 , 1 ( . j N A) V j r 9 0 Z F

I D#, s a NAYW

a 1 6 4 1 0 Z CK# SSOS S NR t t / U t A t / .I DES I K4 I o 1M. : j A 3 f 2


18/36

F o r I n s t r u c t i o n s , Se e B a c k o f F or 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 ( M u s t b e s a m e 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 )

: r ' Cc ( - I t E r c - r. , 7 5 A c . . r . . .S T A T E C A N D I D A T ES NOTE I F A C ON T R I B U T I O N I S R E CE I V E D F R O M A S T A T E P A C ( P O L I T I C A L A CT I O N C OM MI T T E E ) , L I S T T HE P AC I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E C K N U M B E R I N T H E D E S I G N A T ED C O L U M N A L I S T O F I D N U M B E R S I S A V A I L A B L E F R O M T HE I O WA E T HI C S A N D C A MP A I G ND I S C L O S U RE B O A R DCAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c 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 mm i t t e e s

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 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 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f s u r n a m e o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n of 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 )

SCHEDUL EA MONETARY( R e v . 0 6 / 9 7 ) RECEI PTS

CHECK T H I S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( M M I D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# JAM- PAG66 5 ' 6 4 / 0 Z CK# 4i _ 1 0 ~ 1 3 - 7I D # M" I C; ZAK

~ S/ 6 ~ r OZ CK# 309 wo o r b * A4 Mr s 2: 5 . 6 044601 - ? SI D # AJ A1 NI CS A~ECr6 6 ~ / OZ. CK# 2 7 37 - _ 26a t A1 / . I l kFT . bDDC~ X ' A S Sa tD# / Y L Q l e I E s r n r r - 4OS 6 s f 02- CK# 1 - 5 1 S - b ' 4 JWE t. bo -b - T* , 5 o s t ID# C o n r S7 -Y aU- 6 1 0 c .0 b 2 CK# / t N1 VAU V I~- D r 2 .F1 1 4 6 1 1, - 1 1 , ( , 6 Ar e ' 7 L 7 0 1 2 9 0 . 1 0I D # J6AN "EK

Z CK# S30 t oWA SE r 5 , 7 c/ 0 3 ZS. Ob73Sa - Zt P9 ~I D # C41 S J 7 6 J C I : 4AOt S ~ o 1 , o Z CK# ZOa . 1 t i , 1& C , 7 - r - '. E SOS . lI D # f y LA" 0 O t t . , 6OS I O( . 1 0 2 CK# 9oz A1 o . 2q. 1 S ' T '

" C OSd lI D #1/6 ~ 6 1 G 0 2 CK# - I t KI 1 4 , ZSz I S r r 6 .4 t ). ~ . S0S0II D # S* I I ( A t $ 1 f 1 S o AJ

OS / b ~ OZ CK# Z l e a - / 6 0 , yST So , o ~ fvo b ( -. e IMNSo r b /


19/36

FQr I n s t r u c t i o n s , Se e B a c k o f F or 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 TTEENAME ( Mu s t be s ame a s o n S t a t eme n t of Or g a ni z a t i o n)

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON: Se c t i o n 68B . 3 2 A ( 6 ) , I o wa Co de , p r o h i b i t s t h e us 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 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 n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y an y p e r s o n ot 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 .

TOTAL ( i f l a st page o f t h i s s c h ed 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 ommi 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 ny r e l a t l v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e . R e l a t i o n s h i p must b e s how 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 nd 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 ) ( Se e Page 2 o f f o r ms p a c k e t . ) . I f s u r n ame 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 no Pa ge ISo f

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 umn . ( f o r Sc h e d u l e A)

SCHEDUL EA MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS[ ~ CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DAT E' RECEI VED FUND-( MMl DDYR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# ~ } g f i ( 6 G I ' g $0 9 1 6 ( 0 1 0 2 - CK# I X 0( 0 -120 J E ^ ~I D# ~I l t ( , f ~N S~ 1 ~t 1 D~ , C, C . .

Ol o 62CK# / 3~ f c , M. Kc c t ~ST ' a J c ZS. 6 04 1 0 . 1I D# 2 1

6V6G a2 CK# p o n l " 21PT-i ANNN d? a . 0 0 ~/I D #D b ! o 6 2 . CK# Y N 1 0 ? ~ 5 T "v ~~~

I D# CDO- D0NCK# 3 0 t I V A u e y A % k . ~0 .i 3I D #

DS6L DZ CK# S4 . ST .r 7 - - Do p (z e 2 A d lI D# - ( Wowr s SALVA- 4b"d CK# 1053A23RYORL /o Pr + . 1 t 115 , 6501I D# l e D 4 14EA~d d Z CK#

jw4N. 1 3 Sr .j t :4- . DoDC ) e , -,TA So l Qo . 0 o r /I D# "MI NA X0 C. , TZAAAA)

D, S~ / Ob ~2 CK# 1 4 FS- ZI +=At / E , l ~ l , ' ~~Db C- A1Z c f G~ 07 I r /Pr . ODD& ? , . =SOS0 iI D# t; AaCX. . a - x a T A< s F - oQmsCK# 1Z( 02 f I O . 7~S r ' _ ' / O . v o, DOv. C, - - A Saso I


20/36

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 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 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 ni z a t i o n)

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBERANDTHEPACCHECKNUMBER I N THE DESI GNATEDCOLUMN. A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON: Se c t i o n 68B . 3 2 A ( 6 ) , I o wa C o d e , p r o h i b i t s t h e u se o f i n f o r ma t i o n c o pi e d f 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 o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e by a n 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 .

TOTAL ( I f l a st page o f t h i s s c h ed 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 nd 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 ny 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 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 nd a f f i n i t y ( r e l a t i v e s bym a r r i a g e ) ( S e e Pag e 2 o f f o r ms p a c k e t . ) . 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 no P a g e / b o ff a mi l i a l r e l a t i o n s h i p , e nt 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 du l e A)

SUB- TOTAL

' SCHEDULEA MONETARY( Re v . D6 / 9 7 ) RECEI PTS

[ ] CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d 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 PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMED# h A - - 1>AaWOy4a S ~ ~ f l z CK# 3 0 0 1 - A^ r " ~ 4 ~ t 1 6 APB . 33~-M J 4 r u S So o 0I D# JABS P4 - wj W

CK# 3&f 4 " i r o c c " T L Ar X R2 D6 - =A o o G1

. I D # D ( A i v NE ANCt j eSo S

/o l d z CK# 3 o r A / d f e n i - x ( z 6 " 0 12 - C I d 0 , r aI D # j u 1 0 N i 1 e l l e l o v i -r - + c -

CK# x ' 6 6 1 ( d , WITT I NW6a I S a ~ ao f ( 0 ? 0 1 6 z . ' I D # AVEWI D # CEE Cf Ux 4 00EL ( - "

( Z DK# ? 9 S f c . Woma - S r 2 b . dt S. O o7- r J )I D # AWDCK#W LTON

1?35 i l ec vep 4 ' 0Xe j 7 - d e 1 d 6a s " bsoI D #6 F 5 1 ' 1 0 1 ( ) Z CK# / ~ S~ 2 - AfWat , Ad - ' - t o e .r . s ' o a d /I D # x 61 / . ,~WZ . Q F. N

0 A - 16 SoSo iI D #/GVt #V , 30VSO:0 CK# s A , r d , Sd l ea . . ~


21/36

F o r I n s t r u c t i o n s , Se e B a 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 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 )

P J 7 v r r MAt r _ ~ . -STATE CAND I DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E PA C ( P OL I T I C A L A CT I O N C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C AT I ONNUMBER AND T H E P A C CHECK NUMBER I N T HE D E S I G NA T E D COL UMN . A L I S T O F I D NUMBERS I S A VA I L A B L E FROM T H E I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c 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 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 l 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 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 y ~ / -m a r r i a g e ) ( S e e P a g e 2 o f f o r ms p a c k e t . ) . I f s u r n a m e o f c o n t r i b u t o r i s t h e s am e 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 * 7f a m i l l 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 c o l u mn . ( f o r S c h e d u l e A )

SCHEDUL EA MONETARY( Re v . D B / 9 7 ) RECEI PTSI / CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME A ND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT q 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 P AC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI D# 4 ' c Y+ I VVq bw/ K, A e )a l l ,0 1 0 Z -Z CK# / ( - l 7 COC, o f I I A r c , " b e-1 0OD 5 05 ` 0 I S00- dI D #

_SA r JD q t I A t , , 57 " EGI CL I < -

CK# ( o Z ( ' ~ ' . _ S7 ~ 2 F ETQSI d A 1 ~ "

I D# I AA C. 6 t ~n~G-d 5 ` / / 0 Z CK # I SO5 - ( 2 T9 AV&N 300. Da "/o n - . - b 6b I s , - - r A s o s n iI D# woes n r t a N Ka C~ t j

~d CK# l 24 5 NB~. S ; r - 300. Qa 6/PT ' ~ - ~ SdSalI D# K 4 a q &rc K# ~ToDN2S~~sasa~ / o a . o e ~/I D # Nul l / nu. c ua u. A -

d ' 0 1 1 - 1 1 1 ' r2 c K # &33 mode l } ( wo o DAVE / 0 0 . 0 0 r. i I ~ r " ~. - - so so ~I D# , q t 2 I c o I l A l l ZWJ 1 c u5 ` ` - -OS/ o / CK # o r l 3N23 - - . PG .~ ' - ' T ' " 00 6 zA SoSo l v / 00. OoI D# ' I l C. L G. L~ ' / &GEC .QS/ 'l UO CK # ?Z3eUZA6~"NANA.1 07 -- - DOD a 5 ` ' O

I D#" ' A~'N,~~ ' ~ .

orf rs a CK # i oo. o1Do o


22/36



01- UP ( . E r0K\ P) E. A L . t - . . .STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I VED FROMA STATE PAC ( P OL I T I C AL ACTI ON 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 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 HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAU T I ON : S e c t i o n 6 8 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 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 rf o r a n y c o mme r c i a l p u r p o s e b y a ny 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 .

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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm 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 yma r r i a g e ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) . 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 a m e 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 m n . ( f o r S c h e d u l e A )


SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECE I PTS[ ] CHECK T HI S B OX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELA TI ON SH I P AMOUNT d I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# g o e g eTT -

d , S l ~ / ~ Z CK# X031 c e ~ ~ e - AV.4 6 1 1 6 1 5 I . S - o Sd > 0 d d dI D# Ea s eePE4CK# 3Z I s - S' ~AJE >~"6 : 1 j -DODGE4 _- FA S0S61 Oa . d 0I D# CAW So / J

OS / 0 OL CK# I l At . ST ,4AGI Sosa , /I D# MAI ) OVE T) 4 0 ^AS(w, / oh CK# / 2 l S - I 3

T! AV. W- / d6 . c t - 0r . ZOI ) &lTA 0Sv /l S CK# Zog4 - _Wr u AASEu - - Su S~LB / Ot 3 . 0? 7

% k~4 tAA &CK# S g l Qo . d - oi Tf r' ' I D# f ( . < . At e - Ao v Ac ~r . - /CK# z24? S. R~d~2 c , A~/ ~ 106. 00oo o , - : t e a , s mCK# I ? 2 P ' C ~aJE 10 Q P - , ~ , b a b b6c . 3MSd S d i i 1 0 0 , d oI D # ` b AXr 3 Aj e A J O g d s o t r JC K # t o 4~ ~. 1 ~s ' 0 Sd I / 0 0 . a ~I D# / 206 EJ I = I VA77C

6S/ ooZCK# ~' D~ t ?~os ' a I ao . e o


23/36

F o r I n s t r u c t i o n s , Se 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 ( M u s t b e s ame 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 )PCC' ( - ' I - E r v h , P. _ 5 EAR L

S T A T E C A ND I D A T E S N O T E I F A CON TR I B U T I ON I S R E C EI V E D F R O M A S T A TE P A C ( P O L I T I C A L A C T I ON C OMM I T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E C K N U M B E R I N T HE D E S I G NA T E D C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I OWA E T H I C S A N D C A MP A I G ND I S C L OS U R E B O A R DCAUTI ON : S e c t i o n 6 8 8 . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c 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

" 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 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) I f s u r n a m e o f c o n t r i b u t o r i s t h e s a m e a s c a n d i d a t e , b u t t h e r e i s n of 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

SUB- TOTAL $ l o o o . APTOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

P a g e Z f _a( f o r S c h e d u l e A )

SCHEDULEA MONETARY( R e v . D 6 / 9 7 ) RECEI PTSCHECK T H I S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( M M / D D / Y R ) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D # J AI Ke . s r a x - ^ & i0 l a 1 d Z CK# / ( o 6 PAKCU10 0- 0PT ' 0 o Di oC- XA o So 1 lD# OAM( C. ( C C . C L ' r ? - - 1 6 -Q / O/ G2 CK#

r ( ( ( , - 25 . ' ? x Av e - , ) ,/ d 0 . t !

VPr , bob S6SolI D # / K ( d . N4 EL SW"N

OS/ / 0 0 C K# Z2qGsn e e E ' T ' / Oa b aa a o v SO S ' a ,I D # DEAAJ ?o c . KW6 -CK# / c i t 3 T ( C&/ G Al .7 1 0 6 1 6 ( . S . . 1A S t omaI D # ~ c t 2 14 , 6 E7 N L ' AC. 1J 4 c f S - ~S0 1 , 4d E0 5 1 4 OZ CK#I D # f tc

S ' / ~ OZ CK# 1 3 0 2- ( o 7 Y I WL S o .

FDbdb( z f , , - _ L A SOSOI l OD" d~I D # **r:9WO6 9 Sd S l O i ~ Z CK# 112 . 7 w . 4Z" . f T _- r - , - oZ& vt sasa , / o a ~e , /I D # 90WT" ' D-D . 4Y" OJ

CK# ~ f 0 2 r ~ NO c . c r e . ~e c / 0 0 . r oo oI D # p, 4Me4A a a1Af Vu . ) (ds ~~/ / r L CK# L 2 ( o 9 7WI W44145S~.oI D # DOL40S " STSc K# U32- _ 0 A - w l , t 0 AJ AZt dE Ad. t v", _ D1 s OSQ/


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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 )

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PA C I D EN T I F I C A T I ONNUMBER AND T HE PAC CHECK NUMBER I N THE DES I 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 HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAU T I ON : S e c t i o n 6 8 8 . 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 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 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 rf 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 ny 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 mm 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 ) ( S e e Pa g e 2 o f f o r m s p a c k e t . ) . I f s u r n ame 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 Page ~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 )

SCHEDULEA MONETARY( R e v . D B / 9 7 ) RECEI PTSQ CHECK T H I S BOX I FAMENDI NG FORM

DATE PA C 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/ D D / Y R ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S E RNUMBER I NCOMEI D# 0" C01 1 1 1 - 104

QSf l O~l I L CK# - 7 0 Z " Za p AJ E $ 7 S o a , /06Db r - 4 _- L . dSo (I D# j A - 4 5 - S 1 4 6 0 _0 V t ~ %z CK# 3 z 5- - O a s aI D#

Dt c # I OU=oDS . I sA. s u e - S " a . e ` a L IQS 0 iI D# t 00) 7 94 Ad LK0_ueVT -a s / r a 62 CK# I r o 4 ~ I A' / J 1C -WEI MI MAe , C , ( . z 4 s o . o aI D# L. K, ' b Pe Af K c_l c . .e s l Q r 4 7 - CK# r - 77 , DOG, E~SSO ` S -O, Oo- - , - I D# 5A. 0AR-A o1 - T -O~ CK# L112 - A/ , 2. 9~5 ~ Sd, Oy~a~r i r , - CA J-6S-0 jI D# D/ AAI s e e o 4 a a1 - ZeADwy

t f / Q p. CK# 916 Al l Gc . 1A0- Sa - C-

r ; v6ZI _ _ Z * X SdSd /- I D# a.4 f t %?L - 4SEWS

OS/ ~ O. z CK# 16 l e - / /Vxvc~ Sd , ~a" . - 00, 06e , . 27 9 SOSOI D# -DUZ % aa 21~~;~,0- 0G S' o SOI D# JO Ada1 f l Wz)~e-Ks

dS~~ez CK# 9/ 9 -3"Al , S. ~S o .~f , - bO2 I Gr _ , So s ' a /


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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 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 TT EE NAME ( M u 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 )

STATE C A ND I D A T E S NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E P A C ( P OL I T I C A L A CT I O N C OMMI T T E E ) , L I S T T HE P AC I D E NT I F I C A T I ONNUMBER A N D T H E PA CCHECK NUMBER I N T HE D E S I G NA T E D COL UMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM T HE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E B O A R D .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c 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 mm i t t e e s .


" 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 ma 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I t s u r n a m e o f c o n t r i b u t o r i s t h e s a m e 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 )

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECEI PTSCHECK T H I S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME A ND ADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM l D D 1 Y R) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# C, ~u r r ~ss~ec . yt . ' D OZ CK# Z 2 , 7 7An 0 A A Mi a l f T A 1 5 , 090y" I D#

1 j q Z r - ( b e . o6 CK# j ' DI D# rMK r r oQS / d QZ CK# 4 . 2 0 T d E s - c -~o 7 x . I , , -x A 0 Sa 1 d , o e . /I D# I Q A 1 1 X t 1 N I A 0 EI NSd S C K # r s z ? - / 2 - " J - 4 4 A 5 . l ./ ~ a2 GT : zM o fI D# e , f , WL! / 0 - 84aNC_d 5 / / d CK# / 4 0 c o u - l a m ' - J Ct . t l f & DOE . , SrO . DQZ. p~u"0s,=A 5 0 S C ) ;

I D# A&4 4 ( s CASW&WA0 5 ~i o ` 6 CK# Z 9 r / v - / 9 - d o l / EWs 0 s o ~I D# DOA/ " D SNs c 7 t W6 S CK# Z3 o 0 -~4S S Sl d 0 SO 9 0 - 0a s / d o C K # / S a t o - 1 3 " i / ASE A/, a 42 sosa i Sa . 0 0 'I D # G& f C I E e -OS CK# J~~A


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Fo r I n s t r u c t i o n s , Se e B a c k o f F or 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 TT EENAME ( Mu s t be same a s o n St a t e me n t o f Or g a ni z a t i o n)

56AC,STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CATI ONNUMBER AND THE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVA I L AB L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 68B . 3 2 A ( 6 ) , I o wa Cod 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 pi 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 n t r i b u t i o ns o rf o r an y c omme 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 es .

SUB- TOTALTOTAL ( I f l a st page o f t h i s s c h ed 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 nd i d a t e c ommi 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 1 a ny r e l a t i v e mak i n g a c o n t r i b u t i o n t o t h ec ommi t t e e. R e l a t i o n s h i p must 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 nd 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 ) ( S e e Page 2 o f f o r ms p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r I s t h e same a s c a n d i d a t e , b ut t h e r e I s n o Pa ge " o ff a mi l i a l r e l a t i o n s h i p , e nt 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 ul e A)

SCHEDUL EA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS


DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE RECEI VED FUND-( MM/ DDI YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D #

rJ / O O CK# )Z H~ ` ~' A2AGo P J AVEZ t ~ - ava~, 274I D# Q~~ ( C I O

OS/ a o y DOD ( 7 6 aAS o s a ) Z0 oaI D # MA4. 40976 / 3 a ~ t t aI D # OI GM

CK#S 1 0 4 ( o - / l l , Z3~ 30dr , T , 7MDC, E , --EA So J~ I D # AI W6 1AeAZANOAJd S l Q BZCK# _A A l - _ - 5 -4 , 57&3 - 2 6 ; 0 ' 0 0I D# w1&4- y esdo 6 c oop S %zc K# 3Uv f o - Sni AL A / I / - 3sr - r _ 4 J ) 6 s r o S-0 -1I D # NAN(e . 5 1 ' 1 6 1 0 2 CK# 514- 3 " - Ar &l u c SO .T0 0 6 6 Sos ~ ~ 'I D # J d A J # J E GBSOI N )

CK# 1 0 1 2 - / Cx A?wx- 6 ' Di e "dS l ~ OL F" r , DODGE TA SdSo/I N I / , F I 4 ~ 1 6 / u . u al of CCK# - 2 - Z ~oa~S~saso~ ase~ ./OdL I D # J OAI WA FC( U' T; /

aS / 0` OZ CK # / 3 / 2 a0 . V6 C CX& - e c - E aSo~do - , pa a6F . . . T. 4 4- D - T


27/36

Fo r I n s t r u c t i o n s , Se e Ba c k o f F or 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 TT EE NAME ( M u 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 )

. f ' Cc ~ r E r C ; r , 6EA ( - t , . -STATE CAND I DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T THE PAC I D E NT I F I C A T I ONNUMBER A ND T H E P A C CHECK NUMBER I N T HE D E S I G NA T E D COL UMN. A L I S T OF I D NUMBERS I S A VA I L A B L E FROM T HE I O WA E T H I C S AND C A MP A I G ND I S C L O SU R E BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , 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 rf o r a n y c o mm 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 mm i t t e e s .

' 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm 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 a m 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 ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a m e o f c o n t r i b u t o r I s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n of 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 m n . ( f o r S c h e d u l e A )


SCHEDULEA MONETARY( R e v . 0 6 1 9 7 ) RECEI PTSCHECK T H I S BOX I FAMENDI NG FORM

DATE P AC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM / D D / Y R ) AND P AC CHECK - ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOMEI D # t j 4 l , 0 A - - D/ Ay 4 o n l DdSl 4 d2 CK# 1 7 1 7 k r 1 1 - a s i -4 Zoa6e - . s o s o ~ d r S. ~O , /

I D# ' DA ( . ( . C . 5 ' / E ( . w - OA)OS/ i o ~ aZ CK#

1 8 ( 1 4 - 9 T - 9 . 4 $ 16No? S. ~dT: DOA6 1 5 5 S a o /I D# F4 Ar , J U s Ca - aAHY

dS / 0 QZ CK# Z o ( o 1 J ~ c " c VE s ' 7 - ' ,~ I Ef ~ f S O 4 1 , _3 c St 7 / 2 , OaI D # e f l A t e - r 1 u &SOS 4 p CK# -3 0 ~ ~~~ So 5 0 as o 0I D# DES/ S At s ' SCA/

CK# a Z s 77w/ . j c#, CEs . ds , o a/ Q d "0666d- 0 , - V I 0S79- I D# C^ T xt { r_"TG"l SS l d pZCK# Z9

0Z- w, ~V, ~sr .~t ~a~ aS" oo ' 0 0 0 0 0 1

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~

C60 as. ooSOSo ~I D# SN1cK# FTyd o ~JA ~S s ai a?S 0 ' 1 1p~I D# f 4 t r 2 S " r c ew- r r - S0 1 - c . v ' Y t

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I D# , QO ~T" R, 2 St 7 ~ c lOSl I r , ~p Z CK# 23310 - 7 7 , W O l of L l ? D4 . - a? ~ S" 4 S Q l


28/36


( 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 O r g a n i z a t i o n )

1 - 7 ( 5 7O( ' L E; r v l . F5cA ( . . L - .

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) I RECEI PTS[ ] CHECK T HI S BOX I FAMENDI NG FORM

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 C OMMI T T E E ) , L I S T TH E PAC I D EN T I F I C A T I ONNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . 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 HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h l 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 rf o r a n y c 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 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 .


` 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 ma k i n g a c o n t r i b u t i o n t o t h ec o mm 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 yma r r i a g e ) ( S e e Pa g e 2 o f f o r ms p a c k e t . ) . I f s u r n a m e 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 of 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 )Page " ; R Yo f

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 1 F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI V ED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME. C4d l a Q2 CK# o e s

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SCHEDULEA I MONETARY( Re v . 0 6 / 9 7 ) RECEI PTS[ ] CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T TH E PAC I D EN T I F I C A T I ONNUMBER AND T HE PAC CHECK NUMBER I N T HE 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 HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUTI ON : S e c t i o n 6 8 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 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 rf o r a n y c 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 .


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 mm 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 y 9 ~ma r r i a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) . 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 n o Page o f 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 e r e l a t i o n s h i p c o l u m n . ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I B UTOR RELAT I ONSH I P AMOUNT d I F FORRECE 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 S ERNUMBER I NCOMEI D# S d L A UNM' yc K#

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oS~~ o CK# I CN0 GGC~ . S ' T- ' b i t, - ~ a oq >GF a s o s a o?" S , OaI D# JUDGE - 7j~ , g b W

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