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t ? 1 0 5 0 6 : 3 0 a GORDON a ROBERTA KOKENGE 7 1 2- 5 4 2- 4 0 54 p . 2FOR J A f S T R UC T I O NS , SEE BACK OF FORM

DI SCL OSURE SUMMARYPAGECOMMI 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 )

L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l an d c r i m i n a l p e n a l t i e s .11

SI GNATURE OF PERSON RUNG REPORT

I AM F I L I NG A REPORT FOR ( 1 ) ELECTI ON t ( 2 ) NON- ELECT I ON YEAR .

CHECK I F AMENDMENT TO REPORT DATED

TELEPHONE DATE SI GNED

( r e p o r t d a t e ) I n d i c a t e b y #

0 Check 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 mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

STATEMENT OF CASH ON HAND

FORM 1 / 7DR- 2 DI SCLOSURE( R e v . 0 7 1 2 0 0 4 ) REPORT

F o r O f f i c e Us e On l yCo mm, r t

,

L o c a l Co 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 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

CASH 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 o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e T h i s amoun t MUST b e t h e s ame a s t h e c a s h o n h an d a t t h e e n do f t h e l a s t r e p o r t i n g p 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 PERK) DS c he d u l e A : Cash 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 ) ( ` 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 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 he d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( S c h e du 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 O n l y )SUB- TOTAL . . . . . . . . . . . . . . . . 5

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 he 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 Repa 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 c e mu s tb e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . $

S

OCT 2 2 0 0 5

- UNP AI D BI L L S ( F r o m Sc h e d u l e D- At t a ch S c he d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ U' I N K I ND CONTRI BUTI ONS ( F r o m S c he d u l e E - A t t a c h S c he d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" OUTSTANDI NG LOANS ( F r o m Sc h ed u l e F - A t t a c h Sc h ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CONSULT ANT BRE AK DOWN ( S c h e d u l e G A t t a c h e d ? ) - YES _ . Z NOCANDI DATE COMMI TTEES ONLY :VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H)STATE COMMI TTEES : Su bmi t a r e c o n c i l e d c amp a i g n a c c o u n t b a n k s t a t e m e n t i n J a n u a r y o f e a c h y e a r .

I MPORTANT : I n d i c a t e b y # t y p e o f c o m m i t t e e y o u a r e( 1 ) S t a l e w i d e f L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n( 4 ) C o u n t y C e n t r a l C o mm i t t e e ( 5 ) C o u n t y C a n d i d a t e IS u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC1 1 ) L o c a l B a l l o t I s s u e _

r e p o r t i n g f o r [ A ,C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t yS ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a l S u b d i v i s i o n PACL o g g e d I nS c a n n e dC o mp u t e rA u d i t e d

CANDI DATE COMMI TTEES ONLY :Ca n d i d t o Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )O f f i c e S o u g h t D i s t r i c t ( i f Se n a t e o r H o u s e )

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2/4

t Y1 05 0 6 : 3 0 a GORDON a ROBERTA KOKENGE 7 12 - 5 4 2- 4 0 5 4

FOR I NSTRUCTI ONS, SEE BACK OF FORMEXPENDI TURES - MONEY SPENT FROMCOMMI TTEE ACCOUNT

STATEPACCOMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI S LAT I VECANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPACCHECK NUMBER FOR EACH EXPENDI TURE . A UST OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETHI CS &CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( M u s t b e s a m e 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 )

R e s e t F or m

TOTAL ( i f l a s t page o f t h i s s c h e d u l e ) 1 $

SCHEDULEMONETARY

( R e v . 0 7 1 0 3 ) EXPENDI TURESCHECK THI S BOX I FAMENDI NG FORM

THI S BOX APPLI ESTO CANDI DATES' COMMI TTEES ONLY .Pu r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g 5 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 l 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 u l e G b y t h e amo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e ma d 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 u l e G i n s t r u c t i o n s a n d I o wa Co d e S8A . 4 0 2 ( 3 ) ( i ) . )

P a g e o f

p . 3

( f o r Sc h e d u l e , E )

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

NUMBERI D #CK#

J11I D #

i 4 . 1. u 1 ~ 1~VCK#I D#

I Z ) f CK# ~U76I D #

1t 7 - 7 CK#S - , ; Oe~ a v t h 3 _ s -J _ - 7 CK# 5

I D ~~~

8/7/2019 2005-11-03__DR2_Summary_ amended

3/4

t 2 1 0 5 0 6 : 3 1a GORDON a ROHERTn KOKEHGE 7 12 - 5 4 2- 4 0 5 4 p . 4

FOR I NSTRUCTI ONS, SEEBACK OF FORM Re s e t F or mEXPENDI TURES - MONEY SPENT FROMCOMMI TTEE ACCOUNT

STATEPACCOMMI TTEES : NOTE : FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI SLATI VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMNANDTHEPACCHECKNUMBER FOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWAETHI CS 8 CAMPAI GNDI SCLOSURE BOARD.COMMI TTEE NAME ( M u s t b e s ame a s on S t a t e m e n t o f O r g a n i z a t i o n )

f r so" - , ' / / L G t

SCHED( Re v . 0 7 / 0 3 ) I EXPENDI TURES

MONETARY

CHECKTHI S BOX I FAMENDI NGFORM

SUBTOTAL ( $ ; y - 9TOTAL ( i f l a s t page o f t h i s s c h e du l e ) I $ i " v z

THI S BOXAPPLI ESTOCANDI DATES' COMMI TT EES ONLY :Pu r c h a s e s o f c e r t a i n c amp 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 en d i t u r e s t o p e r s o n s l e n t i f e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , mana 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 a nSc h e d u l e G b y t h e amoun 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 n d i t u r e mad e b y t h e p e r s o n l 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 u l e G i n s t r u c t i o n s a n d I o wa Co d e 68A . 4 0 2 ( 3 ) ( i ) . )

Pa g e 0 4 , o f

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

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( MMI DDNR) AND PACCHECKNUMBER

CK# $ ( o ~ 6 G

/ O , , o CK# 5~.5 " ' U 1 ' Z r t i ,1D#

CK# T' ~ y v 7.v y yI D #CK# V2 5I D #CK#D#CK#I D #CK#I D #CK#

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4/4

t 3 0 0 5 1 2 : 0 8 p GORDON a ROBERTA KOKENGE 7 1 2 - 5 4 2 - 4 0 5 4 p . 2

FORI NSTRUCTI ONS, SEEBACK OF FORMCOMMI TTEE NAME ( Mu s t h e s ame a s o n St a t eme n t o f a n i z a t i o n )

! 'R e s e t Fo r m

SCHEDULEE I N- KI ND( Re v . D 6 1 9 7 ) CONTRI BUTI ONS

HECK T H I S BOX I FAMENDI NG FORM

` 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 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 n i n k i n d c o n t r i b u t i o n t o t h e Pa g e 7 z - - o f 9c 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 ns a ng 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 ( f o r Sc h e d u l e E )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 , 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 .

DATERECEI VED( MMI DDI YR)

NAME AND ADDRESSOF CONTRI BUTORRELAT I ONSH I PTOCANDI DATE' ( i f a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ON

ESTI MATEDF AI R MARKETVALUE

J I F FORFUND- RAI SERCONTRI BUTI ON

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I C J , a r C J ~ JvVL , CZL . ( El

7171

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