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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 - - M O N E Y 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 r . r s o n i l f u n d : )COMMI TTEE NAME ( 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)

Si a C90t %t ?/ ~o) f " 1CPf i er r SSTATE CANDI DATES NOTE : I F r . 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 THE PAC I DENTI FI CATI ONNUMBER AND THE PA , .: CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS S AVAI LABLE FROM THE I OWA ETHI C ; AND CAMPAI GNDI 3CLO : : URE BOARDNOTE . ANY PERSON, OTHER THAN AN I NDI V I DUAL, THAT CONTRI BUTES MORE THAN ; 7 50 TO YOUR CAMPAI GN MAYHAVE F I L I NGRESPONSI B I L I T I ES AND SHOULD I MMEDI ATELY CONTACT THEBOARD .CAUTI ON : Se c t i o n 6 BB , 3 2 A( 6 ) , 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 p i e d f r o m r e p o r t s en 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 r f o r a n yc o mmer r i a l p u r p o se by a n y p e r s o n o t h er 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 page o f t h i s s c h e d u l e )D i s c l e ! . i a r r J O I N r c 1 0 r e s C O n d l d s t e c o mml t l e e s t c d ! %f o 5 C t h e - e l a t i o n c h l p o f a n y r e l a t i v e ma k i n g 3 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 c h l p mv gt b e '. s h e , v n t o t h e t h i r d d e g r e e o f C CC r S a n q o i n i t y ( b l o o d r e l z t l v 4 e ) a n d e i f l n l t y ( r e l a l l v e c t ym a r r i a . g e i I f s u r n ame o f c o n l r l b u t o r I s t h e Sa me a s c a nd i d n t e , D I . I l c h o 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 l c a t d 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

SCHEDULEA( R ev 0 7 1 0 3 )

t , 1ONETARYRECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

Pa n e 5o f( f o r Sc h e d u l e A)

DALE PAC I D NUMBER NAME AND ADDRESS OF CUNTROUTOR RELATI ONSHI P AMOUNT / I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUN( }( MMI DDNR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

-21 1 1 4 I D# &I l a I " ( G ~~J g OOCK# i e 1 l 0 r- 7 1 1 . 2 l e i ,

J D# 1 ) a / t .CK# I d ~ 2I D#CK# s ~ ' N . 6 , 1 S~ .o f Awa , 4 , 7 4 4 J ; ZI -0 9I D# Dc c b er 9 -I D#CK# 3 2 , 3 1 G t l f f I l ' / o o '-0- - I D#

/ Z d t o CK# _MLI D#, ~ ~ ~ e l t , y a , z P ' 9 5 ~ ' O 1I D#

CK# y 0 , 6Ko 1 a " tUO - - f G: e r r " A r7/ ~ ~ ' ~ b l n C K # 6 1 9 ) e l ~ 1 a r s .

_

3 0 0 ~e~ , ~ % y _ '7 D # ' ~ T i J 1 d i C w ( - - - ,C K #

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7/11

Fo r I n s t r u c t i o n s, See Back o f Fo r m

CONTRI BUTI ONS - - MONEYTAKENI N( I n c l u d i n g c a n d l d i l e ' S P e r s o n a l f u n d s )

COMMI TTEENAME( Mu s t b e s ame o s o n St a t c me n l o f O r g a n i z a t i o n )ZCf ' J S ~ ~ ' - / ) c . e ~

SCHEDULEA( Re v 0 7 1 0 3 )

MONETARYRECEI PTS

CHECK T HI S BOX I FAMENDI NG FORM

STATECANDI DATES NOTE : I F ACONTRI BUTI ON I S RCCEI VED FROI A A STATE PA C ( P OL I T I C AL ACT I ON COMI AI TTEE) . L I ST THE PA C I DENT I F I CAT I ONNUMBER AND7 1 - I F PACCHECK, NUMB=R I N THE DESI GNATED C0 1 . Ut A N AL I S T OF 1 0 NUMBERS I S A V AI L A BL E r ROM THE I OV J A ETHI CS ANDCA%1PAI Cr iD I ' CLOSURE BOARDNOTE . ANY PERSON, OTHER THAN A N I ND I V I DUA L . THAT CONTRI BUTESMORE THAN $ 7 5 0 TOYOUR CAMPAI GN MAY HAVE F I L I NGR ESP 01 4 SI B I L I T I ES AND SHOULD l t I MEDI A TELY CONTACT THE BOARD.CAUTI ON : Se ct i o n 6 8B . 3 2 A ( G ) , p r o h l 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 s n , i 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 r f o r a n yc o mme r c i a l Pu 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 e s .

TOTAL ( i f l o st page o f t h i s s c he d u l e )' D i < , c l o s u r e La w r e q ui r e s c a n d i d a t e c ommi t l 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 an y r e l a t i v e mak i n g 2 I c o n t r i b u t i o n t o t h ec cmml t t a e R e1 Ar l o n . < h l p m u s t b P s hc%vn t o q i n I h t r n d o g r r n n ! c o n s a n g u i n i t y ( b l o o d r e l s t l v e s ) and i f f i n i t y ( r n l . t i v g s p ym s r r I a e ) 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 nof a m l l i a l r e l a t l o n c h l 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

SUB- TOTAL

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR REL A T I ONSH I P AMOUNT " I I F FORRECEI VED ( 1 1 ' a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MMI DDI YR) AND PACCHECK ( I f a p p l i c a b l e ) RA I SERNUMBER I Nr OME

I D# / VI G, ~-- t Z l i c , ~- 7 1 r 31 66 CK# ~ 2, 7 , ua & L f l _ 2 ~~ 0 ~ r 4 06l o # ~ o r VMGy x - r ' J U- 7 CK# ~3 H~ ~ t i J p l ac e

D#CK#I D#CK#I D#CK# UI D#CK#I DCK#

I D#CK #

_I D#CK#

I D#CK # i

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FORWSTRUCTI ONS S F - - E BACK OF FORMEXPENDI TURES - - MONEYSPENT FROMCOMMI TTEE ACCOUNT

I SCHEDULE

( R e v 7 1 0 3 ) M0 r ` I F T A R' rEXPEHDI TURESSTATEPAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS NAADE TO STA7Eyu I DE OR h r - ( , I S L A T I V ECANDI DATES L I S T T HI _ CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLLMN ANDTHE CHECKTHI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUNI BERS I S AVA I LABLE FROMTHE I OWA I AMENDI NG FORI v IETHI CS & C A r , 1 P . A 1 GN DI SCLOSURE 5OAR0

THI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r , - h o n 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 $ 6 0 0 o r ma r , = mus t a l s o b e i n v e n t o r i e d o n Sc h n d u l o H . ( R e f e r t o Sc h e d u l e H ) n c t r u c t l o n s )E xp e n n i t u r C S t o p e r o n s ! e n t i t l c s p r o v i d i n g c o n ' i l t l n g , a d v e r t i ; r n g f u n d - r e t s l n q , 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 must a l s o b e d c t a i l i t e m I Z o d o nS c r n e n u l e ~ = b v 1 1 1 c , a mo u n t , p u r p o s e , a n d d At e o f e a c h t y p e o f e x pe n d j l u r c m a d e b y t h e p e r s o n i e n t l 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 Code 5 8 A - 4 0 2 ( 3 ) ( 1 ) )

( f o r Sc h e d u l e P 1

COMMI TTEE NAME ( Mu s t b e s ame a s o n ~ i t a t e me nr Or Ur g a r n z a t l o n)r - OV21Y1Q/ 1

CANDI DATE I NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON ; EXPENDED

EXPENDED ( I f a p p l i c a b l e ) ; D i s l : u r s e m , g r i 0 WAS MADE( MNA1DDf YR) ANDPACCHECKNUMBER

I Q# Vi~. f ~ O r ~ s e s 0 1 r r t r " P y rCK# 5 a o S . 3 0 s t y ~ o U ' ~~~dYt . ~ ~ ~ S ~ 0D~ v e t , ~ - s~ 8 oD# 7 ~ 7 O r i . ~/ 7U~i JOCK#

I D# ( f l C7 ~Z ) ' L ~ ~7 SFSC K# C~ r ~ Gl Sb #CK#I D #CK# u i --II D # FCK#Q _ #CK#

D # tCK#

S UB - T O T A I - ~ 3TOTAL i f l a s t p a g e o f t h i s s c h ed u l e ) $ ~ U '

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9/11

= o P ! h 1 S TR ~ J ' C T I ON S SE E BA Cx CF FOPMCOMMI TTEE NAME i M U S t b e S A M P - a S on St a t e me n t o f O r _ o a n + z e f i c n )&-/ i z ms - s l , a - ~ 6 o ~ e r ~ r a~c e - -

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 ew 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 , 9 8 ) I NDE 15T EDr d E S S

[ ] CHECK T HI S BO/I F AMENDI NGFORM

An " I n c u r r e d d e b t " I s a d e a l f o rD EB T S / OB L I GA T I ONS REMAI NI NG T HI 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 c 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 r y r ne n d o f t h e r e p o r t i n g p e r i o dr e g a r d l e s s o f wh e t h e r a n i r w c i c eh a s b e e n r e c e i v e d .

` I f a c t u 9 l f i g u r e r s u n k n o w n , s h o w " C S f i r n a l e d " b e s i d e t h e l l q u r e Pag e --4- ) f( t o r ; ; , n e d u l e DICANDI DATE COMMI TTEES NOTE :I n c u r r e d I n r j a t l e d n p. RS n l c b ~ n d u d r . 9 9 a c h p e r s o n r e n t i t y wt h y v h - o m t h e , a n d l d s i e ' S : o r T j M I T j c e h a s p i ! t n r e d I n t o a c o n t r a c t q u n 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 ^ o i l n u l n g p e r f o r m a n c e , E nt e r t h e n a me 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 n r l c e t f o r i t t m s S u c h a s l d v e r t I S l n g . f u n d - r a k i n g , p o l l l r t g ma n l g i n b , e rc r g a r n z i n g i ~ e r ! I r c . s R e p o r t o n Sc h e d u l e G t h e n a t u r e o f p e r f o r ma n c e a n r i t h e e S t l m a t e d p e r f Or me n Ce f Q 3 a O n d b 9 y e x o e d n d o f t h e ' ~ n s u l m n t ,

DATEI NCURRED( MM/ D D/ y R )

NAME ANDADDRESS OF PERSONTO WHOMDEBT OR OB L I GA T I ON I S OWED

DE SCRI PTI ON OF GOODS ORSERVI CES PROVI DED ORPURCHASED

BALANCE OWED ATCLOSE OFREPORTI NGPERI OD'

VI CE 7v

U~. ' ma ` j ~ 3 9 0 0 COD` 7 7 1 0 /

L~a

L i a

~ l ~ I D wSUB- TOTAL 3

TOTAL DEBTS OWED BY COMMI TTEE AT THE END OF T HI S REPORTI NG PERI OD g '

8/7/2019 2006-07-20__DR2_Summary

10/11

; - . O r . , NSTPUCTI ONS SECBACK OF FORM

COM I T TE E NAME ( Mu s t b e s ome a s on S t a t s me n t c f O r g a n i z a t i o n )~s ~ ~ l I ? Cl ~ ~l ?f ~~1c~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 np ai d mus t b e I n c l u d e d o n t h i sS c h ed u l e , a s w e l l a s a n y new 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 .

DEBTSI OBLI GATI ONS REMAINI NGTHI S REPORTI NGPERI OD( DO NOT I NCLUDELOANS - - SHOWLOANSONSCHEDULE F )

- I f a c t u a l f i g u r e ; u n k nown s h ow " o s l i ma t e d b e s i d e t h e f i g u r e

SCHEDULED I NCURRED( Re v O CI 9 B ) + I NDEBTEDNESSDCHECKTHI S BOX

I F AMENDI NGFORM

An ' I n c u r r e d d e b t ' i S a e eb l f o ,q oo d s o r s e r v i c e s o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r n y I I I ^ .e n d o f t h e r e p o ni n g p e r i o dr e g a r d l e s s o f wh e t h e r a n I n v o , . c eh a s b e e n r e c e i v e d .

F 3 g e( f o r S c he d u l e D )

CANDI DATE COMMI TTEES NOTE :' I n c o + r e d i n d e b t e d n n s s a l s o i n c l u d e s e a c h p e r s o n t e n l i t y w i t h wh o r e t h e c a nd i d a t e s c ommi 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 o c r t l n p p e r i o d f o r r u t u r ~o r c o n l mu i 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 who 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 b : 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 o l l i n g man a g r n p c ro r Q - 4 r i z i n g s e r v i c e . , . R e p o r t o n Sc he du l e G t h e n a t i v e ) o f p e r ' o r md n c e a n d r h c e s t i ma t e d p n r f o r m a n c . e r e a s o n a b l y n , x p e c t e d o f t h e c o n s u l t a n t

DATEI NCURRED NAME ANDADDRESS ( ' F PERSON( f 0 l \ , 1 i D D i Y R ) TO WHOMDEBT OR OBLI GATI ON I S OWED

DESCRI PTI ON OF GOODS OR; E RV I CE S PROVI DEDORPURCHASEDBALANCE OWED AT

CLOSE OFREPORTI NGPER I OD 'dt' 1 - , o r ~ s e sw 5avos w_ TA SZ Z r ~' - ~C ' E l U%GP. ~

S L I I S - T O T A I ,

TOTAL DEBTS OWED BY COMMI TTEEAT THE ENDOF T HI S REPORTI NGPERI OD l ~ " 0 g 9 '

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11/11

r OR I NS TQUC' r 1OA j S , S F - F - BACKOF FORM

COMMI TTEE NAME ( i l f u s t b e same a s n n St 3 ( c me n : o ! D r g = ni z 3 d c n )

TOTAL ( I f l a s tp a g e o f t h i s

s c h e d u l e ) ,

I N- K I NDCONTRI BUT I Oh I S

( ] CHECKTHI S BOX I FAMENDINGFORM

' D i : c J o r u r e l a w 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 : h l p o f an y r e l a t i v e ma k 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 eCOTmi t t e e R e l a t i o n s h i p must b e shown t o t h e t h i r d d e g r e e o f c o ns an g ui n i t y ( b l o od 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 ib y mamag e) ( Se e Page 2 o f f o r ms p ac k e t ) I f s u r n ame o f c o n t r i b u t o r , s t h e same a s c a n d l o a t e , b u l l h o r e i s n of a m l l l n l r n l a t i o n c h i p , e n i c r " n o t a p p l l c a b l c " i n t h e r e l A t l o n s h i p c o l u mn

DATERECEI VED! ' AMI D D/ Y R) NAME

ANDADDRESSOF CONTRI BUTORRELATI ONSHI PTO CANDI DATE

' I f a U s a b l eDCSCRI PTI ONOF I N K I ND

CONTRI EUTI ONESTI MATEDFAI R MARKETVALUE

I F FORFUND- RAI SERCONTRI BUTI ON

a9 o a o1W/10- Kc S - 2 17 00