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NOV- 1 1 - 2 0 0 5 1 3 : 2 0 S I OUXLAND- TRAVELFOR I N STRUCT I ONS , SEE BACK OF FORMD I SCL OSURE SUMMARY PAGE

COMMI TTEE NAME ( Mu s t b e same 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 )

V - e %V- V_ - r fr v r .I MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e mp a r l i n g f o r .( 1 ) S t a t e w l d e l 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 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 y( 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 ( 8 ) 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 Ot h e r P o l i t i c a lS 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 PA C ( 9 ) C i t y PAC ( 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 PAC1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY:Ca n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

O f f i c e S o u g h t D i s t r i c t ( i f S en a t e o r H o u s e )v ^ 0 L Ln Ci ~uw t i ' ' Y 1 ' 4 S ' -04e

- CHECK I F AMENDMENT TO REPORT DATED

CASH

v i i a n d c r i m i n a l p e n a l t i e s .

I AM F I L I NG A I 1 1 1~0REPORT FOR ( 1 ) E L ECT I ON l ( 2 ) NON- E L ECT I ON YEAR,(report d a t e ) I n d i c a t e b y #a

J C he 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 F o 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

~7 1 v ~ 7 3 ? - 3 6 a 3TELEPHONE DATE SI GNED

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 amo u n t MUST b e t h e same 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 i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h ed 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 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 du 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 du l e F ) . . . . . . , . . . . . . . . . . . , . . . , . , . . Sc h e du l e H : T o t a l S a 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 du l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . .

( Sc h ed u l e H a ao l l e s t o Ca n d i d a t e s ' Commi t t e e s On l y )

" UNPAI D BI L L S ( F r o m S c he du l e D - A t t a c h Sc h e du l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . , . . . . . . . . . . . . . . . . $' I N K I ND CONTRI BUT I ON S ( F r o m S c he du l e E - A t t a c h Sc h e du l e E ) . . . . . . . . . . . . . . . . . . . . . . . , . . , . , . . . . . . . . . . . . . . . . . . . . . . , $" OUTSTANDI NG LOANS ( F r o m Sc h ed u l e F - A t t a ch Sc h ed u l e F ) . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )CANDI DATE COMMI TTEES ONLY :VALUE 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) $STATE COMMI TTEES : S u bmi t a r e c o n c i l e d c a mp a i g n a c c o u n t b a n k s t a t e m e n t I n J a n u a r y o f e a c h y e a r .

FORMDR- 2( Re v . 0 7 0 0 0 4 )

7 1 2 7 3 7 8 4 4 0 P . 0 2 / 0 5

F o r O f f i c e Us e On l yComm . #L 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 _

SUB - T OT A L . . . . . . . . . . . . . . . . $ 0, ! E ! :SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e du 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 Sc h e du l e B) ( " a l s o s ee d e b t s a n d l o a n s b e l o w ) . . . . . , . . . , . , - _Sc h e du l e F : L o a n Re p a yme n t s t o t a l ( A t t a c h Sc h ed u l e F ) . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a l 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 must Qe vb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

DI SCLOSUREREPORT

L o c a l C o mm 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 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

2 0 0 5

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2/3

OO- 9- 2005 18 : 2 3 FRON : DEN HPRTOG I ND 7 1 27 5 28 2 22 T0 : 1 5 152813701 P : 4

FOR I NSTRUCT I ONS , SEE BACK OF FORMCOMMI TT EE NAME ( M u s t b o s ame a s o n S t a t e me n t o f O r g a n l z a r l o n )

J ( " L ANOTE : D o b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n p a i d mu s t b e I n c l u d e d o n t h i sS c h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .

SCHEDULED I NCURRED( R e v 0 8 1 9 8 ) ) I NDEBTEDNESS0CHECK THI S BOX

I F AMENDI NGFORM

An ' i n c u r r e d d e b t ' i s a d e b t f o rDEBTSI OBLI GATI ONS REMAI NI NG THI S REPORTI NG PERI OD g o o d s o r s e r v i c e s o r d e r e d o r( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F ) r e c e i v e d . b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t l n g p e r i o d . ,r e g a r d l e s s o f w h e t h e r a n i n v o i c eh a s b e e n r e c e i v e d .

` I f a c t u a l f l g u r o i s u n k n o w n , c h o w e s t i ma t e d ' b e s i d e t h e f i g u r e . Pa ge o f( f o r S c h e d u l e D )

CANDI DATE COMMI TT EES NOTE :' I n c u r r e d I n d o b t e d n o s s a l s o I n c l u d e s e a c h p e r s o n l e n t i t y w i t h wh om t h e c a n d i d a t e ' s c o mmi t t e e h a s e n t e r e d i n t o a C o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u l r t p p o r f o r m o n c o E n t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e ms s u c h a s a d v e r t i s i n g , f u n d - r a i s i n g , p d l i n g . ma n a g i n g , o ro r g a n l z l n q s o r v i c o s . Re s o r t o n S c h e d u l e G t h e n a t u r e o f p e r f o r m a n c e a n d t h e e s t i ma t e d p e r f o r m a n c e r e a s o n a b l y e x p e c t e d o f t h e c o n s u l t a n t

DATE DESCRI PT I ON OF GOODS OR BALANCE OWED ATI NCURRED NAME AND ADDRESS OF PERSON SERVI CES PROVI DED OR CLOSE OF( MM/ 0 0 / YR) T O WHOM DEBT OR OBLI GAT I ON I S OWED PURCHASED REPORTI NGPERI OD'b ~ OL

3 C w ~ ' F r 0 1 I ~ ' Q SI C .DD r 4~ e Ct

V, f~ w 6 1 _ , ! k k - ,( 3 C e ,4 , r , l AR EU S

r an , S ` 1 G" ~ PL L b

o b ? o f 1 1 3 C e t i A r o ~ (a t A . . A _ ;1 J ~ a i ~ o 1 3 CQ " ` - k ` a c A- ` ~ 1 ( : s Or i n Ve e + l a x qa ~ A ~ e C1 91 ' I ( J I l U ~ ~ t C44ro. ~ 56 . t o ~ , r Ja v r a K. e Cc

t v , . r1 0 0 a G c , y o - , 1 d e S - 9 n p o9 - o xA em. e5 ker a r v + Se, r v: c. es

~ar\C, i~ C)_ _SUB- TOTAL

TOTAL DEBTS OWED BY COMMI TT EE AT THE END OF THI S REPORTI NG PERI OD SL_

8/7/2019 2005-11-11__DR2_Summary

3/3

NOU- 9 - 2 0 0 5 1 8 : 2 3 FROM : DE N HPRTOG I ND 7 1 2 7 5 2 8 2 2 2 70 : 1 5 1 5 2 81 3 7 0 1 P : 5

FOR I NS1 ' RUCT I ONS , SEE BACK OF FORM

COMMI TT EE NAME ( Mu s t b e s ome 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 )

NOTE : De b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n pa i d mus t b e i n c l u d e d o n t h i sSc h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .

SCHEDUL ED I NCURRED( Re v 0 8 / 9 8 ) 1 I NDEBTEDNESSL j CHECKTHI S BOXI F AMENDI NGFORM

An - i n c u r r e d d e b t " i s a d ob t f o rDEBTS / OBL I GAT I ONS REMAI NI NG THI S REPORTI NG PERI OD g o o d s o r s o r v l c A s o r d o r e d o r( DO NOT I NCLUDE L OANS - - SHOWLOANS ON SCHEDULE F ) r e c e i v e d , b u t n ot p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . ,r e g a r d l e s s o f wh e t h e r a n i n v o i c e

h a s boon r e c e i v e d

' i f a c t u a l f l g u r o I s u nk n own , s h ow' e s t i ma t e d " b e s i d e t h e f i g u r e . Pa g e -~of ~G( f o r Sc h e d u l e D)CANDI DATE COMMI TTEES NOTE :' I n c u r r e d I n d e b t e d n e s s a l s o I n c l u d e s e a c h p e r s o n i e n t i t y w i t h w h om t h e c a n d i d a t e ' s c o mmt t t e e h a s e n t e r e d i n t o e c o n i r e c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n l l n u l n g p e r f o r ma n c e En t e r t h e name o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e m s s uc h a s a dv e r t i s i n g , f u n d - r e i n i n g , p o l l i n g , man a g i n g , o ro r g n n l z l n p s o r v l c o o R o p o r t o n S c h e d u l e G t h e n a t u r e o f p o r f o r ma n c e a n d t h e o s t l ma t e d p e r f o r ma n c e r e a s o na b l y o x p e c t e d o f t h e c o n s u l t a n t

DATEI NCURRED( MMI DDI YR) NAME

ANDADDRESS OF PERSONTO WHOMDEBT OR OBLI GATI ON I S OWEDDESCRI PTI ON OF GOODS OR

SERVI CES PROVI DED ORPURCHASEDBAL ANCE OWED AT

CLOSE OFREPORTI NGPERI OD '

l a3` aS ~ r - ~t / r ` Ci h ' C . C~

. - a - _ S) o ` Ii l o I d 1 13 Ce r ~ , k r a 1O1 4 Ag g e CI T' A -~ar, -s l G, BroC

"r, es. } U 1 c 9 y r~

SUB- TOTAL 3

TOTAL DEBTS OWED BY COMMI TT EE AT THE END OF T HI S REPORTI NG PERI OD S 0 3 g 6s