Courtney Thomas1344scanned

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FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURE 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 )COURTNEY FOR STATE SENATE COMMI TTEEI MPORTANT : I n d i c a t e t y p e o f c o mm i 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 w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e s

' / - J7 _ ad.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 ) TEL EPHONE DATE SI GNEDRo u t i n e P e n a l t i e s Du e Fo r L a t e F i l e d Re p o r t s Range f r o m $ 20 t o $ 8 0 0

SEE I NSTRUCTI ONS ONBACK AND COMPL ETE THE FOL L OWI NG SENTENCE :AM FI L I NG A J ANUARY 1 9 , 2 0 0 2 REPORT FORAN/ A ( 1 ) 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 eJ AN 2 2 2 0 0 2

E] CHECK I F AMENDMENT TO REPORT DATED I n 1- / VE l 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 mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s amo u n t MUST b e t h es a m e a s t h e c a s h o n h an d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d ,o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . , . , . . $

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 d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 Ca mp 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 pp l i e s t o Ca n di d a t e s ' Co mmi t t e e s On l y )

SUBTRACT TOTAL MONEY SPENT THI S PERI ODSUB- TOTAL . . . . . . $

Sc h e d u l e B : Ex p e n di t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . .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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . .

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 KI 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 ( Fr o m Sc he du l e F - At t a ch Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h ed u l e G At t a c h e d? )VALUE OF CAMPAI GN PROPERTY ( Fr o m Sc he du l e H - A t t a c h Sc h e d u l e H)

FORMDR- 2 DI SCL OSURE( Re v . 0 1 / 9 8 ) REPORT

F o r O f f i c e Us e On lComm # ` - (I n d e x e dA u d i t e d ~--Compu t e r - 4wS

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mmi t t e e s , e n t e r Co u n t y i nw h i c h E l e c t i o n i s h e l d

g 7. 3 t ~ . , .

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 al a nc e mu s t ~+b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ -


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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 Fo r . . .CONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )

COURTNEY FOR STATE SENATE COMMI TTEE

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

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THEPAC I DENT I F I CA TI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN . 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 : 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 mm i 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 ed u l e ) s ,


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Fo r I n st r u c t i o ns , See Back o f Fo r mCONTRI BUTI ONS- - 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 a s o n S t a t eme n t o f O r g a n i z a t i o n )

COURTNEY FOR STATE SENATE COMMI TTEESTATECANDI 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 COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBER ANDTHEPACCHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se ct 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 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 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 os e by 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 es

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 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 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 mus t b e s h ow 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 ) an 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 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 0o ff a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d ul e A)

SCHEDULEA MONETARY

( Re v 0 6 / 9 7 ) RECEI PTSCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FORECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOMI D# KEVI N JOHNSONCK# 3 3 2 EMMETT ST N/ AO ^ ~~~~ 1 BURLI NGTON I A 5 2 6 0 1 C 5I D#CK# UNI TEMI ZED N/ ACONTRI BUTI ONSI D# B I L L MONROECK# 4 83 7 8 6T H ST - 9 PLUMWOOD N/ A ~CS . C~6URBANDALE I A 50322I D# C9 gT/ / I A STATE UAW- PACCK# 2 7 0 0 S RI VER RD N/ A ~b~~ DES PLAI NES I L 6 0 0 1 8D# DANCAHI LLCK# PO BOX 82 1 N/ ABURLI NGTON I A 5 2 6 0 1I D# STEVEN CROWLEYCK# 1 0 9 2 4 OAKRI DGE RD N/ A

( ) . . a j - 6 1 BURLI NGTON I A 5 2 6 0 1I D# GARY WAL SHCK# 2 4 1 6 HERMAN AVE N/ A, BURLI NGTON I A 5 2 6 0 1I D# LENNY LAWSON

1 ' a s p - G l CK# 1 323 308TH AVEWEVERI A 52658 N/ A ~UL7 . o blI D# NALC BRANCH 2 22l ~ - a 9 D ~d CK# PO BOX 785BURLI NGTON I A 5 2 6 0 1 N/ A ~~' ( } DI D#

CK# CONTRI UTI I ONS N/ A )6 . v6


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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 - - 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 eme n t o f O r g a n i z a t i o n )

COURTNEY FOR STATE SENATE COMMI TTEESTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CAT I ONNUMBER AND THE PACCHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI 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 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 n s o rf o r a n y c o mme r c i a l p u r p os e b y an 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 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 nd 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 a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e 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 ) an 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 Page 2 o f f o r ms p a c ke 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 as c a n d i d a t e , b ut t h e r e i s n of 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 .

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

CHECK THI S BOX I FAMENDI NG FORM

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

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORECEI VED ( i f a p p l i c a b l e ) TOCANDI 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#

UNI TEMI ZEDCK# CONTRI BUTI ONS N/ A 0c)I D# DI ANE POI SEL612 NORTH STCK# BURLI NGTON I A 5 2 6 0 1 N/ A

I D# FAYE FRAZI E1 6 9 9 280TH AVE

/ CK# FORT MADI SON I A 5 2 6 2 7 N/ A ' GGO~I D# SHAWNACASADYCK# 1 4 0 3 KOESTNER STBURLI NGTON I A 5 2 6 0 1 N/ A RC) dI D# PAULA LOGANCK# 5 8 5 2 SUMMER ST N/ ABURLI NGTON I A 5 2 6 0 1I D# HARRY BAXTER

2 0 3 J EFFERSON STj CK# BURLI NGTON A52601 N/ A o~~ . t J OI D# ANA MARI AWARNER1 4 0 4 ORCHARDMEADOWSPLCK# BURLI NGTON I A 5 2 6 0 1 N/ A f , ,

I D# TRI CI A ANDERSON609 J EFFERSON STCK# BURLI NGTON I A 5 2 6 0 1 N/ A p ' 60

I D# DAVI D EHRET2 6 0 9 EVERGREEN DRCK# BURLI NGTON I A 5 2 6 0 1 N/ A

I D# STEVEN SWANSON2 5 1 9 QUAI L RI DGE DR/ CK# BURLI NGTON I A 5 2 6 0 1 N/ A


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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 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 )COURTNEY F OR STATE SENATE COMMI T TEE

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

CHECK T H I S BOX I FAMENDI NG FORM

STATE CANDI DATES NOTE : I F A C ON T R I B U T I ON I S RECEI VED FROM A S TAT E P AC ( P OL I T I CAL ACTI ON COMMI TTEE) , L I S T T HE PAC I DENT I F I CAT I ONNUMBER A ND T HE P A C CHECK NUMBER I N THE DESI GNATED COL UMN A L I S T OF I D NUMBER S I S AVAI LABLE FROM T HE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE 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 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 mm i 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 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 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 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 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 6 o f _6f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORECEI 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 ) RAI SERNUMBER I NCOMEI D # ROSEMARY ABEL7 2 7 MORNI NGSI DE DR $/ CK# BURLI NGTON I A 5 2 6 0 1 N/ A S, CA DI D #UNI TEMI ZED

- mCK# CONTRI BTI ONS N/ AI D# LANDEN HI LLYARDPO BOX 2 8 0CK# MEDI APOLI S I A 5 2 6 3 7 N/ A -I D # SANDY SHAVER9 0 7 E 1 3 T H ST N

/ 1 ) _ / d - ~; CK# NEWT ON I A 5 0 2 0 8 N/ A b - G6I D# SHARON THYE1 1 7 3 9 NORTHVI EWDR/ CK# BURLI NGTON I A 5 2 6 0 1 N/ A GDI D #

_ G 3 / CK# CONTRI BUTI ONS N/ A f i b , p 0I D # 6 1 i . 3 AFSCME/ I A C - 6 1 PEOPLE4 3 2 0 NW2 ND STCK# A DES MOI NES I A 5 0 3 1 3 N/ A ~6 Q . OC 3I D#C K#I D #CK#I D#CK#


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T HI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mus t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H. ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )E x p e nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v 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 e r v i c e s mus t a l s o b e d e t a i l i t e mi z e d o nSc h e d ul e Gb y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x pe nd i t u r e mad e b y t h e p e r s o n / 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 mmi t t e e . ( R e f e r t oSc h e d ul e G i n s t r u c t i o n s a n d I o wa Code 5 6 . 6 ( 3 ) ( i ) . )

( f o r Sc h e d ul e B)

/ - - UK/ NS / KUC/ / UNS, SLL- BACKOFFORM SCHEDULEEXPENDI TURES B- - MONEY SPENT FROM COMMI TTEE ACCOUNT MONETARY( R ev . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DEOR LEGI SLAT I VECANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN ANDTHE F - 1 CHECKTHI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )COURTNEY FOR STATE SENATE COMMI TTEE

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MM/ DD/ Y R) AND PACCHECKNUMBER

I D#POSTMASTER POSTAGE

CK# 3 00 N MAI N ST/ 0O' BURL I NGTON I A 5 2 6 0 1 - 9 9 9 8 $ 3 ~~I D#CK#

VOI Dl a oI D# TOML I T TL E REI MBURSEMENT

~ C> -~- v j CK# 1 2 3 CENTENNI AL DR PO BOX RENT 0/ 0 03 MEDI APOLI S I A 5 2 6 3 7 - 9 4 0 1 y.I D# CRAFTSMAN PRESS2 03 S 3RD ST P R I NT COWBOY CARDSCK# BURL I NGTON I A 5 2 6 0 1 - 5 5 2 0I D# POSTMASTER

30 0 N MAI N ST POSTAGECK#I OU BURL I NGTON I A 5 2 6 0 1 - 9 9 9 8 3 U, C)OI D# TOML I T TL E MA I L I NG ENVELOPLES1 2 3 CENTENNI AL DRCK MEDI APOLI S I A 5 2 6 3 7 - 9 4 0 1 RENTI D# SOUTHEAST SECURI TY BANK BANK CHECKSPOBOX670/ 0 CK# MEDI APOLI S I A 5 2 6 3 7 - 0 6 7 0 fI D# CRAFTSMAN PRESS P R I NT LE TT ERHE AD &f - ` - OI CK# 20 3 S 3 RD STBURL I NGTON I A 5 2 6 0 1 - 5 5 2 0 ENVELOPES ) ' ` / 9 60

SUB- TOTAL $ (0Oq. 6 L , ~` ' ?TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e $


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THI S BOX APPLI ES TO CANDI DATES' COMMI TTEES ONLY :P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s )Ex p e nd i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v 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 e r v i c e s mus t a l s o b e d e t a i l i t e m i z e d o nSc h e d ul e Gb y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p en d i t u r e mad e b y t h e p e r s o n / 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 mmi t t e e ( R e f e r t oSc h e d ul e G i n s t r u c t i o n s a n d I o wa Cod e 5 6 . 6 ( 3 ) ( 1 ) . )

( f o r Sc h e d u l e B)

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTR I BUT I ONS MADE TO STATEWI DEOR LEGI S LAT I V ECANDI DATES, L I ST THE CANDI DATE I DENTI F I CAT I ON NUMBER I N THE DES I GNATED COLUMN AND THE E] CHECKT HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPA I GN D I SCLOSURE BOARD .COMMI TTEE NAME ( M u s t b e same 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 )COURTNEY FOR STATE SENATE COMMI TTEE

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WASMADE( MM/ DD/ YR) AND PACCHECK

NUMBERI D# POSTMASTER

3 0 0 N MAI N ST POSTAGE` G) CK# ~ BURL I NGTON I A 5 2 6 0 1 - 9 9 9 8 $ 311 , 00I D# CRAFTSMAN PRESS

2 0 3 S 3RD ST PRI N T EN VEL OPESO) CK#, b69 BURL I NGTON I A 5 2 6 0 1- 5 5 2 0 LETTERHEAD 0 A 761 ,

I D4CK#1D#CK4I D#CK#

I D#CK#1D#CK#I D#CK#

SUB- TOTAL $ 3~3 7TOTAL ( i f l a s t p a g e o f t h i s s c h e du l e ) $ n ~ - - 7J


10/10

FOR I NSTRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ame as o n St a t e me n t o f O r g a n i z a t i o n )COURTNEY FOR STATE SENATE COMMI TTEE

SCHEDULEE I N K I ND( Re v . 0 6 / 9 7 ) CONTRI BUTI ONS

CHECK THI S BOX I FAMENDI NG FORM

TOTAL ( i f l a s tp 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 an di d at 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 an y r e l a t i v e mak i n g an i n k i n d c o n t r i b u t i o n t o t h e Page~-o fc 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 gr e e o f c o n s an 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 ( f o r Sc h e d u l e E)b y ma 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 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 umn .

DATERECEI VED( MM/ DD/ YR)

NAME ANDADDRESSOF CONTRI BUTOR

RELATI ONSHI PTO CANDI DATE" ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I ND

CONTRI BUTI ON

ESTI MATEDF AI R MARKETVALUE

J I F FORFUND- RAI SERCONTRI BUTI ON

2 - 2 - 0 1NANCY SCHULTE2 5 5 6 SURREY RDBURLI NGTON I A 5 2 6 0 1 NBA HOUSE PARTYSNACKS ~ GC) . OG

1 2- 2 - 0 1NANCY SCHULTE2 5 5 6 SURREY RDBURLI NGTON I A 5 2 6 0 1 N/ A PARTYBEVERAGES 160 . 00

1 2- 2 - 0 1NANCY SCHULTE2 5 5 6 SURREY RDBURLI NGTON I A 5 2 6 0 1 N/ A

PARTYI NV I TATI ONSPOSTAGE I 6 o . O

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