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FOR I NSTRUCTI ONS, SEE BACK OF FORM

DI SCLOSURESUMMARYPAGEVG4vy ' Y1

AM F I L I N G A

I MPORTANT : I n d i c a t e t y p e o f c o m m i t t e e y o u a r e r e p o r t i n g f o r( t ) 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 t t e w 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 PAV( 6 ) B a i l o t K s u e / F r a c i s C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o m m i t t e e( 8 ) S up po r t e f C a n d i ~ a t e - 0 U - 4 1 1 o2 -~~ a~ ~~ 5 ~ 0 ~ C oSURER ( o e r s o n f i l i n g t Ns r e p o r t ) TELEPHONE

Ro ut i n e Pe n a l t i e s Du e Fo r La t e F i l e d Re p or t s Ra n g e f r o m $ 2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AN D COMPL ETE THE FOLL OWI NG SENTENCE :

CHECK I F AMENDMENT TO REPORT DATED

~-~REPORT FOR A N/ A ( 1 ) ELECTI ON / ( 2 ) N ON - E L E C T I ON YEARD C h e 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 D R- 3( Y o u m u 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 HAND

I n d i c a t e o n e

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 h i s i s t h e t o t a lo f a l l m o n i e s h e l d b y t h e c o mm i t t e e T h i s a m o u n t MUST b e t h es ame a s t h e c a s h o n h a n 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 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 H I S PERI ODS c h e d u l e A C a 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 S c h e d u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o ZS c 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 C a m p a i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( S c h e d u l e H a p p l i e s t o C a n d i d a t e s ' Co mmi t t e e s On l y )SUBTRACT TOTAL MONEY SPENT T HI 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 h e d u l e B ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e F L o a n R e p a y m e n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNPAI D B I L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N KI ND CONTRI BUTI ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG L OANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLYCONSULTANT BREAKDOWN ( S c h e d u l e G A t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $

FORMDR- 2 D I S C L O S( R e v 0 1 / 9 8 ) REPO

F o r O f f i c e Us e On iComm #I n d e x e dA u d i t e d 2 - 2 "C o m p u t e r e - C A -

0

/ _ l r - ? d_ ODATE SI GNED

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 oC o u n t y & L o c a l C o m m i t t e e s , e n t e r C o u nw h i c h E l e c t i o n i s h e l d

SUB- TOTAL . . .

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 m u s t A- / , ; ? / 'b e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6- 0/ , "N

YES ZN6-

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Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r mCONTRI BUTI ONS - - MONEYTAKEN 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 )TTEE NAME ( Mu s t b e s ame a s o n a t e me n t o f Or g a n i z a t i o0 2 t 2 eSP A! ~-~

SCHEDULEA MONETA( R e v . 0 6 / 9 7 ) I RECEI PQCHECK T HI S BOAMENDI NG FOR

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S REOEI VED FROM A STATE PAC ( P OL I T I C AL A CT I ON C OMMI T T E E) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD.CAUT I ON : S e c t i o n 6 8 B . 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 m a t 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 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 of o r a n y c omme 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 ommi t t e e s .

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 mm i 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 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 yma r r i a g e ) ( S e e Page 2 o f f o r m s 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 o Page o 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 umn . ( f o r Sc h e d u l e A )

DATE PAC I D NUMBER NAMEANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNTRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e )NUMBER ;

I D#' \ O

- a 6 - o CK# / 0 o 3 a q~!J 50 7 3 ~ o ~ , v ~ .~ , 3 4 o f I KI i ~ a l - ~ 3 l . s ~3 i l ~5; ~

I D# ,

a s - o C K # ~ ~ 3 aI D#

t o~ X~

I D#CK#

rl Sl ~ ~ o x , ~ . - 5 , 0 (w; - - 7

l l - l D CK# L 5Da 7~I D#

l t ' - - l o f I D# " S o 3 Dl l - / 7 - 0 1 CK# ' e 7 A

I D#

~ l - r ~ a l CK# t f l ~~~t ~ 5o - a ~d a~. 8 r 7I D#l r - ~ - a C ' P D 3a y r 1 - SUB- TOTAL $ / 4 73 - e z )

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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Fo r I n s t r u c t i on s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN 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 , T T j E E NAME ( Mu s t b e sa0e a s o y ( $ t a t e me n t o i / O r g a n i z a t i o n )Yi l t

SCHEDULEA MONETA( Re v . 0 6 / 9 7 ) RECEI PQ CHECK T HI S BOAMENDI NG FOR

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N TH E DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM TH E I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON: S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Cod 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 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 nf 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 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

' 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 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 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 yma r r i a g e ) ( S e e Pa g e 2 o f f o r m s 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 o P a g e o 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 S c he d u l e A )

DATERECEI VED PAC I D NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I PTO CANDI DATE' AMOUNTRECEI VED( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e )NUMBER

1 1 - 3 1 _ 0 / CK# Y3 3 1 J ~ ' , ~ ~~ ~ 1 5 ~ a o $ l d d . ~I D#CK#

_ , SO C A S ' 'I D# WAcK# 30 7 3 . 5 5I D#

I D# -W - ~CK#

701 A )~~ 7067 "I D#cK# X3 3 ~ U~o66s l ~D . -I D# / 1

I D#

J ~ - l 9 d / cK#I D#

' SUB- TOTAL $ ~a~~ Uc S ~TOTAL ( i f l a s t page o f t h i s s c h e du l e )

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Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN 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 )I COMMI TTE" AME ( Mu s t b e s ame a y o n St a r e n t o f Or g an i , p t i on j

SCHEDULEA MONETA( R e v 0 6 1 9 7 ) RECEI P

CHECK T HI S BOAMENDI NG FOR

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEY/ ED FROM A STATE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUT I ON : S e c t i o n 6 8 B . 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 m a t 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 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 of o r a n y c o mme r c i a l p u r p o s e b y 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 e s .

' 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 mm i 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 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 yma r r i a g e ) ( S e e Page 2 o f f o r m s 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 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 o 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 S c h e d u l e A )

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNTRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED( MMl DD/ YR) AND PACCHECK ( i f a p p l i c a b l e )NUMBER

I D#` ~ $~ a - 1 9 - a l CK# v' l a~~ 5al 3 ~ O DD, o - r 7

I D#c K#I D#CK#I D#CK# ,I D#CK#I D#CK#I D#CK#I D#CK#I D#

CK#I D#CK#

SUB- TOTAL 0 0TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) 244 5 7 5

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FOR I NSTRUCT I ONS , SEE BACK OF FORM no r1 1 7W- 19_001JMWI

C O M / 4 1 1 EE NAME ( M u s t b e s am e a s o n S t e m e n t o f

SUB - TOTAL

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

s c h e d u l e )

SCHEDULEE I N K I N( R e v . 0 6 / 9 7 ) + CONTRI BUTCHECK T HI S BOXAMENDI NG FORM

' 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 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 m a 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 ec o mmi 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 ( f o r S c h e d u l eb y ma 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 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 m n .

DATERECEI VED( M M / D D f Y R ) NAME AND ADDRESSOF CONT UT ORRELAT I ONSHI PT O CANDI DATE' ( i f a p p l i c a b l e )

DESCRI P T I ONOF I N K I NDCONTRI BUT I ONEST I MATEDF A I R MARKETVALUE

J I F FFUND- RACONTRI B

7a~~ l a~~~

~ 1 0 1 l d 1 ~ ~ % 4 . 2 -- 7 - , Z2W~ , l l _ 6 1 V l S% D a - -

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FOR I NSTRUCTI ONS. SEE BACK OF FORMCOMMI / E NAME ( Mu s t b e s ame as o S t a t eme/ t / / Or g a ni z at i o n )

Y ~CJ~L7/ 1~~d

SUB- TOTAL

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

s c h e du l e )

SCHEDULEE I N K I N( Re v 0 6 / 9 7 ) I CONTRI BUTQCHECK T HI S BOX

AMENDI NG FORM

' Di s c l o s u r e l aw r e q u i r e s c an d i 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 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 ec o mmi t t e e Re l a t i o n s h i p mus t b e shown t o t h e t h i r d d e g r e e o f c on s an g ui n i t y ( b l o od r e l a t i v e s ) and a f f i n i t y ( r e l a t i v e s ( f o r S c he d ul eb y ma r r i a g e) . ( Se e Page 2 o f f o r ms p ac k et . ) 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 an 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 pp 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( MM/ DD/ YR)

NAME AND ADDRESSOF CONTRI BUT

RELATI ONSHI PTOCANDI DATE' ( i t a p p l i c a b l e )

DESCRI PTI ONOF I N K I NDCONTRI BUTI ON

ESTI MATEDF AI R MARKET

VALUEJ I F F

FUND- RACONTRI B

L o u J4~ 9 - 7 0. a

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as

9 s o /

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l D3a / ~

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FOR I NSTRUCTI ONS, SEE BACK OF FORMCOM EE NAME ( Mu s t b e s ame aoS t a t e me n t Or g a n i z a t i o n )

OZ

SUB- TOTAL

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

s c h e d u l e )

SCHEDULEE I N K I N( R e v 0 6 / 9 7 ] CONTRI BUTCHECK T HI S BOXAMENDI NG FORM

' 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 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 m a 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 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 ( f o r S c h e d u l eb y ma 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 same 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 m n .

DATERECE I VED( M M / D D / Y R ) NAME AND ADDRESSOF CONTR I T ORRELAT I ONSHI PT O CANDI DATE' ( i f a p p l i c a b l e )

DESCR I P T I ONOF I N K I NDCONTRI BUT I ONESTI MATEDF A I R MARKETVALUE

J I F FFUND- RACONTRI B

1 1~Q l ~~ 7 5 ~95' ~ l v ~S4 ~ ' 1 3 , 5 ,. dv