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Seng Joe - 1282 - Scanned

This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

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Zach Edwards
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© Attribution Non-Commercial (BY-NC)
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0% found this document useful (0 votes)
39 views12 pages

Seng Joe - 1282 - Scanned

This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

Uploaded by

Zach Edwards
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 12

= ' ^dc 1 i-4)CTIONS.

SEE BACK OF ')PM L t"


is FORM
D DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAG (Rev . 01/98) REPORT
JAN 2 4 2002
For Office Use On ly

CO i`AiTTEENAME (Must e same as on Statement of Orga Comm . 4

7 Zt"' C y r7oC .-5 Indexed


Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer

Support SlatvWarvddates

SIGNATURE OF T ASURER (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:


I AM FILING A I Zf3rlL~ !9^ '~ REPORT FOR AWA (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one ©-

CCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

C Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissolution is filed .)

STATEMENT OF CASH ON KAND


CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies held by the committee . This amount MUST be the
same as the cash on hand at the eiid of the last reporting period,
or must be zero if this is first report filed.) ............ ..... ............ .............. .... ............ .. ...............$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
... .
Schedule A: Cash Contributions total (Attach Schedule A) .. .. .. .. .... .. .. .. .. ....... ..... .. .......... .. .. . y Z- y v 4
Schedule F: Loans Received total (Attach Schedule F) . ..... ........ .. .. .. .. .... ............ .. ....... ........
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . .... ..... .. ..... .. ....... .. . .. .. .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL ...... S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ..... ..... .. .. .. .. ...... . . . ..... .............. .. .... .. .. .. .
Schedule F: Loan Repayments total (Attach Schedule F) .... .. .. .. .............. ....... ......... .... ...... .

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . .. . . . .. ... .. ..... .. .. ..... ... ..... .. ..... .. ..... .. . ... . . .. . . .... ...... ....... .. ..... .. ....... .... .. .... .$

UNPAID BILLS (From Schedule D - Attach Schedule D) . .. .. .. ... ... .. ..... .. ..... .... .. .. .. ..... .. .... . . . . . .. .. . ..--. .. ..$ .
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .. ... .. .. .. .. .. .. .. ... .. ..... .. .. .. .. .. .. .. .. ..$ y3 z_ -c;--'
OUTSTANDING LOANS (From Schedule F - Attach Schedule Fl . ... .. .. . .. .. .. .. .. .. .. .. ... .. .. ..... .... . . ...... .. ..$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $


For Instruction*, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN A (Rev . 019117) RECEIPTS
(kbdu*q re,ldldelt't pow@* W 1nrWt)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of OIgsrKzstlon) AMENDING FORM

mm .l-M1-k Gv 66"f_e-> 'k_

STATE CANDIDATES NOTE 1F A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUIM3ER IN THE DESIGNATED COLLIAW. A USTOF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION: Section 68B.32A(6). Iowa Code. prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
1&Coxv 13vckav,4cfo
CK# ~26i'1 ,2 31zn a V
w
ID#
GVDoja4 1,30~jvsa
CK# PD 80X fr1Z
.; -4 5z 77,7
Io#

CK# 3~3 G~~~A1L 74


E7"7 5z-77L- ~ UU
ID#

CK# ;7-5e) z 4e-rcJE

1414
ID#
&A-16
v ` U

CK# /9 3n ll7 S'l/z E y


Z~ 3 a~d0
ID# -

23~ ao-
ID# ,~TC ~ lh+4n.

CK#
Z~'a l, oU

CK#
Ay G O. a~
ID#

CK# 90 3 ~ l~7
Mnz Z~ Z d ? G,O
ID#
l R/z w ~N77~nsa~'

O CK#
zsG y arG, otr
SUB-TOTAL

TOTAL (If last page of this


schedule)

Disclosure law re"res carKi)date committee: to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and afMity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contnbubr is the same as candidate, but there is no Page of ,
familial relationship . enter -not applicable' in the relationship column . (for Schedule A)
For Insteuctiont, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN )N (Rev. 06417) RECEIPTS
(IncludkV carl3dals's p~rsortsl tun*)
CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Sbternsnt of OTa1fzrseion) AMENDING FORM

d "6 &45' 0!~> 7oi


STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POUT)CAL ACTION COMMITTEE) . UST THE PAC IDENTWICAT)ON
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN_ A UST OF ID NUMBERS IS AVNLABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION: Section 68B .32A(6) . Iowa Code. prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (it appiliCable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (1f applicable) RAISER
NUMBER INCOME
IDfe

CK#
-toN -Z73 z- ad
lDfl
atA~~ S~c~orz
CK# /-706 o2g~ht fir'

IDft
(~pcCf 4E
w .~'-
CK# 2&63
~Z~'Q3 ~~oU
IDII
rp .
& - ~2 ~~X`
~CW
CK#
. ram ~A 5~7G 5G o4
IDft
_ fFANlea5SA5~<)
CK# 117-4, ,~ 30-16' -5/ ~
- 6rV3 a~JL
IDit
fir"'~U~ ?IE l,ES
lll~1'~r "

CK#
W z.~eq lG. o-~ _
ID#
Ih#/tdj 1,f0N1Y
CK#
y~~y l~-moo
ID(I ~'~ y ~~nu,44
Z&_:~2 Owe S>
CKtt
VA(/ ~ y 5~, da
ID#
S fLN U 4 ff
CK#
pod y d9 /~. Up
1Dtt

CK#
f SZ8d3
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative ma" a contribution to the
committee . Relationship must be shown to the third degree of consanguintty (bl)od relatives) and a" (relatives by 12- of -
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate. but there is no Page _
familial relationship . enter -rot applicable' in the relationship column . (for Schedule A)
For Instt'uctiond, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN rtd (Rev. Otflt:T) RECEIPTS
(fnduArq earlddrls's oawryt Ands)

COMMITTEE NAME (Must be sans as on Statement of Orgar&adon)


a AMENDING
CHECK THIS BOX IF
FORM

, '1~~ lr°, e 1 70 _WY


STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
LIMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF O NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6). Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory poklcal committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if appllcade) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK Of applicable) RAISER
NUMBER INCOME
t0#

CK#
Sz a f0-~
ID#

CK#

ID# Svf ~,q-M~fa7~~


71`r~ .~Gc ~'~
CK#
?~d 3 _a vd
ID#

CKN
- SZ ~Zz- ~J" 06

CK# /Od Gc.) x 5z


7 770
ad
ID#
19 Se- o~Eirf
CK#
PAW A Zge 3
ID#
k-- ~IG>N W "4 ,
CK# 27 /`7r7 L-6 U<G
ID#

~fy5Z l +U ,-
CK#
r~~xl
ID#

CK# a~ 0 ~N~EjZ~G~

ID#

CK# 6_q( GO -~
t7 J,# SZ-$6-3 0 5 ve~
SUB-TOTAL

TOTAL (if last page of this


schedule)
Disclosure law reQuiret candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and a" (relatives by
marriage) (See Page 2 o1 forms packet-). If surname of contributor is the same as candidate, but there is no Page 3 of 9
-
familial relationship . enter 'not applicable' in the relationship column . (for Schedule A)
For Insteuctionit, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06IT) RECEIPTS
(lnckrdinp crndidwe*80 rr And*
CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Stntemsnt ofOrgsnfzsfion) AMENDING FORM

STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NU61BERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSLIRE HOARD.

CAUTION: Section 68B.32A(6). Iowa Code . prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (it applikab1e) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK Of applicable) RAISER
NUMBER INCOME

Z v 7T3
Ion

A0 CK#
5-78o9,
Ion
6U-)60C-A-

CKn i~lOy
t
"e- on
CK# glocv0 GRWZ) 6zelor/z
3"Z vz-
ton /tta
~ZV3 ZS ov
ion -

CK#
`Z ~
I =~r~Z6'BTC~7 ~ll ~f~A~+1Ay

IDtt _
~ G~~ernir
CKn qeo fr 3~;,~
796 ,7 zS~oU .
Io#

CK# Y5 Cf2 ~~~


ZSO~
~goe-,.
~'~~,
IDn

cK Z!4
~2aKK-0 JCS" Gu

A
IDn
*ATLrHo -5';ra,4
CK# 3zz3 Z97H
~Nn Ir &170 00
Ion
VA tlZP
CK# ~S'SZ A~yuq a',~rlE ~l~ ,~

SUB-TOTAL
TOTAL (If last page of rhIs
schoddle)
' Disclosure law requires canfate committees to disclose the relationship of any relative making a cordnbution to the
committee. Relationship must be shown to the third degree of consanguinity (Mood relathres) and afltrilly (retattvea by ~
marriage) (See Page 2 of forms packet.) . If surname of contributor Is the same as candidate, but there is no Page -~-- of
familial relationship, enter 'not applicable' in the relationship column . ( for Schedule A)
For Instruction*, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN .A (Rev . 05417) RECEIPTS
(1ncludn0 C-1 Cliff a SP _0
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Ststernent of Organizetbn) AMENDING FORM

STATE CANDIDATES NOTE IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC .POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NLIMSER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. AUST OF ID NUMSERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose! by arry person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if appkable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK Of applicable) RAISER
NUMBER INCOME
lo#
s
q/ 161 CK# ~I~13 31~r s7
Ico i~ ~SC~Na IfG Cr/ZO
ID# n
Z/~,m`
CK# T sy ~
spa hC~D . od

ID# ~ ATc'T~ IIiIZM.t1TL


CK# f,o3 4/143#

ID#
4*ue, -s /ZbA0
CK# 5?~Jr 16 A,vsy 4/Z
5z 3 ~9~ 0
ID#
Z't Z 01/3 ~'
CK#
y7g1/ Z~03

n
/04 &t
ID# ~oS~ PIf ~' SU(,J,Z A D~S
.
CK# yv ~7j1' 1 u.
.1
'aZCV 3 ~C1D(JZ
ID#
3 c e_ tclnK17- Loa^ l~5
CK# ~I 1 -700 5Z itJ D ~` ~-
~f
ID# ?AYj P
CK# ;7_/ :3 SGcs rG yNA)
at .llr'_ .Z13 e'1"70 Z ~O~ r aZJ
ID#
cTC'#N 3c"gellC-
CK# 6Z/C, P<Z i'JS_ZC"-j S7 ,~-
P#c> .L 5 -z~o~. 7C` .vo
ID#
TA-7 W &-a f erl-

CK# tIzl3 illsr S'l


5 0 3/c, lC .o~zr
SUB-TOTAL

TOTAL (if last page of this


schtdult)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and a" (relalives by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page of
Iarrtifial relationship . enter -not applicable' in the relationship column . (for Schedule A)
' For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
L
-2-10, 45tt-er, 77- 4

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# /qc.y
_ rc~EwC~n-
CK# 70 /~-~~ I-~L L~7cJl4Tz G~
~c~ z l0~ v r1
I D#
Svr ~h C~filvcJ

l
~c ,~.c~ ` ~~375 pT/da
ID#
&t 6exVAA (,1J &7lrut, AS
CK# r /&0 j Z S> 7j 7c, ~~
W3 fJr. "Id
I D#

CK# yC? 2/ /CCGevl' ?1Z


llO'J
ID#

CK# wry 0A1eV",Vk,~ l z


P 5 /(A d evuS v ~ 3/ `ro . .crZ~
- ~
ID#
~ ~~ ~l~Cl1a~~.L~L~CV9 LCJ~itiG~t G/ l`~ J"L2r
CK# ~l3aZL? ~r~fJ Z .VP ~t/E
5~10 7?
ID# &U7G ~OGG~A L c1f ~

1D# - -(po '7 cs turf -~i?L'S~ " ,4sSC?e


/5V/ 417'ev -S7 STi~ 7~
CK#
C~ G)

~07f/ s'T ST,t~ '~''`1


cK# ly5 `1
Cv
ID#
0 I)(,l r¢w/t,~/7s Civil >~ ~~r.1s F nZs

v2S3c) 'Re-5 A- rs oi ; 1, ? 5C13o ,2 loo. v~f


SUB-TOTAL

TOTAL (if last page of this


schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a cont-ibution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate . but there is no
familial relationship . enter "not applicable" in the relationship column (for Schedule A)
' For. Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# L.;ZV . ~ .F>f~,l~~y
-7a ; $
CK#
l~ '~'7 l Z 77 Z
ID# ~_y/j ,f tej
cK# 7a7 t79y S~ Sri 3/0 00
!l J~~ ~~JGi~j[ 60 9-o 2- 0
ID#

CK# f3`lZy
(015 C i&
ID#
5C!`f A.1 A4,9n~1 Re ~'cwspo
cK#
e(41 ro(- e> 7L ocy~ y& rve.
ID# A11Arc vP-tc~1
,
CK# ;Z 7/Z + 6fC7*
,A,' _1A rzga7 0C~
ID# EK'orC,POZ (1AW u vPy
C K# 7l(f SCo &4N/fcSHvlzt 7-~e_
L ~CA ~Z- 1, 20 Z ` ICv. C/o
ID# 16ti,t t G"J.a
Ezesw
5r~l Gv C~.csl3~ ~
CK#
'Szfs~~~ ~; ~czi
ID# (w73 ~To,a4 Pj 7 ,,7 OF
CK# ,
o
lee, ( l'1z~9 D
,., -- 7
ID# Ice,I3LrC7 LoG?c f-e ,
~~l7 ~ iLE7~ / s ~7
CK#
P/tv rl z ri~ ~P Uv
ID# j p3~3 Gam & P69 Le
4
CK# r/ 'I `7I7 / _L% Lf3pT71ZW
`.
pe-5 .~ 6-C'3C~ ,' r ~C
SUB-TOTAL

TOTAL (if last page of this


schedule)

' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by '']
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate. but there is no Page ~- of
familial relationship . enter -not applicable" in the relationship column . (for Schedule A)
, FoVInstrtictions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 686.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IZkC)/G' ID#
OLse_-, L*eRc-est- , c?z ~
CK#
J /PT <Z 77-Z---
ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID #

CK#

SUB-TOTAL

TOTAL (if last page of this


schedule)
to the
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution
affinity (relatives by ~
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and
is no Page of
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate. but there
applicable" in the relationship column . (for Schedule A)
familial relationship . enter "not
FPR INSTRUCTIONS SEE BACK OF f 4 SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT


B MONETARY
(Rev . OB/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applice"e) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# (/,L 1/.ZAI~ T ~ ~.Ls rGOD /l3D. l1O

CK# Za0. a0 $ 3~
I Zr3 UG

,~r~
S=l ~~'
CK# 1~3 -z w >Ylf,
IZli
ID#
/' ~~C-r y GfJlC.3v ~ /-~OjJ prU~
l Z`~ i~ 3 D 1 S`1
CK#

ID#
tSSAn~jv ~jSc .fA~ ~',c~,,c,Zssl6r -
Z 1 ~~lbf
CK# `0G /` ~/zaap r
fZ ' tl a vyj
jy ID#

44lI -1

IT
o CK#
If/7 w oe l3
ID# V,f-ejf-o ~I3L715
~Al~ L -5111~'h~ZES
CK# Z-7 ~
lI ,Phty) 04
IN T~osyu~
~IZv o CK#
l7
IN ~~ y 1~,~-ATL
Rl3Ul + CK# /5/!5 w
IZGj ~oon - N~ ~~ %~ /, Ll9
PAO .21-1 Sz~~
SUB-TOTAL
TOTAL (lf last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to peraons/eMldes pmvkft consulting, advertishg, tund" raislng . potting. menagtrtp, organizing services must also be detail Ntnized on
Schedule G by the amount . purpose . and date of each type of expenditure made by the persorventity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(i).)

Page -L- of --

(for Schedule B)
FOR INSTRUCTIONS, SEE SACK OF f W SCHEDULE

EXPENDITURES -MONEY SPENT FROM COMMRTEEACCOUNT


B MONETARY
(Rev . oets7) EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES. LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS d CAMPAIGN DISCLOSURE BOARD .

CO ITTEE NAME (Must be same as on Statement of Organization)

77 Z7l~, & -ro & ~ e?, `


'Jnf - .
PURPOSE
CANDIDATE NAME AND ADDRESS TO WHOM AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# , LUu~ciafL
7~7-7
C1/3r%l
CK# 7Z 65v 35-711
IZZL
v
~f cg CUA-G~77 ll~ ~~OTJ
ID#
hr
far:,
IG Z0vo lb-111 Ids

L
61 CK#
ZFel l- SSL4rv0 "1 l~,I rGp . _ 3 S_ cn
ID#
"7,071,1 u,I~iZ h~e~
~C I ~J/c, J )q X15 7p(~
CK# (1 -3/ 55 MGr1C'VP1I1 'n2 G
i7t :; Acj --jts -Ax 5o ;lo oF k t:-lrl co?4.5 Z. z
ID# 1~'4 rZ7e,
1 I rl~u?4 7
1 IG,
cK#1f3Z
t; 1 d w3/ .
` ID# ~-7L1TL(Xrrg99 v.ZLLOVHk
f to Z,v12
l10 I cK# 113 -3
17,~s l~ta~N,~s <l 503it~ ~ro~- ~vNI7/~lI1s;Elz ?76
1D#

CK#

ID#

CK#

IN

CK#

SUB-TOTAL $ ~~

TOTAL (N last page of this schedule) $ 1 ~,

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to personsteMiMes providing consuldno . advertlsslng . fund-raising, polsng. managing, orgaNz1ng services must atso be detsl7 itemised on
Schedule G by the amount . purpose . and date of each type of expenditure made by the persorvsntfy on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

of

(for Schedule B)
F,OR r,YSTRLJOTK7W$ SEEBAGC Of"FORb1 SCHEDULE
064
E IN KIND
COYIA~TTlt NAYS (Alusr be srrw as on SeNsnwrrtof OrgwruaOon) (Rev . CONTRIBUTIONS

El CHECK THIS BOX IF


AMENDING FORM

RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR


DATE
RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
OF CONTRIBUTOR (it appkable) CONTRIBUTION VALUE CONTRIBUTION
(MM/DD/YR)
t

ISO y3 ~.
.~- ~~

e
sue-TOTAL I

TOTAL (If last

page of this

schedule)

Page ( of -~
'Disclosure law requires candidates w disclose the relationship of any relative making
an in kind contribution to the
(blood relatives) and affinity (relatives (for Schedule E)
committee. Relationship must be shown to the third degree of consanguinity
. but there is no
by marriage). (See Page 2 of tomes packet) If surname of contributor is the same as candidate
farralial relationship, enter 'not applicable' in the relationship column.

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