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    y NSTPUCTI ONS,SEE BACKC( " ) P MDI SCLOSURE SUMMA RY P AC E

    ~OMMI TTEE NAME ( M u s tb e same a s o nS t a t e me n to f Or g a ni z a t i o n )Wi l d er d y k e f o r St a t e Hou s e

    I MPORTANT : i n d i c a t et y pe o fc o mmi t t e ey o u a r e r e p or t i n gf o r:

    ( 1 ) S t a t e w i d e / L e g i s l a t i v eCa n d i d a t e ( 2 ) S t a t e wi d ePAC ( 3 ) S t a t eP a r t y( 4 ) Co un t y / L oc a lCa n d i d a t e( 5 ) Co un t yPAC ( o ) B a l l o tI s s ue / F r a n ch i s eCommi t t e e ( 7 ) C o u n t y / C i t yC e n t r a lCommi t t e e( 8 ) S up p o r t S l a t eo f Ca n d i d a t e s

    CANDI DATE COMMI TTEES ONLY :

    Ca n d i d a t eNameP a u l Wi l d er d y k e

    O f f i c eSough tI o wa Hou s e o f Rep .

    SI GNATU F TREASURER ( o rp e r s o n f i l l i n gt h i sr e p o r t )

    SEE I NSTRUCTI ONS ON ( BACKAND _ C-I AM F I L I NGA T_

    ( r e p o r td a t e )

    CHECK I FAMENDMENT TO REPORT DATED

    P o l i t i c a lP a r t yRe p ub l i c a n

    D i s t r i c t( i fSe n a t e o r House)8 2

    STATEMENT OF CASH ON HAND

    TELEPHONE DATE S I GNED

    Ro ut i n e P e n a l t i e sDue For L a t eF i l e dRe p or t s R a n g e f r o m$ 2 0 t o $ 8 0 0

    PLETETHE FOLL OWI NG SENTENCE :Z ~-1 - 0-2 -MEPORT FOR AN/ A( 1 )ELECT I ON/ ( 2 ) NON- EL ECT I ONYEAR .

    I n d i c a t eon e

    [ ] Ch e c k i ft h i si sf i n a l( t e r m i n a t i o n )r e p o r ta n d a t t a c h No t i c eo fD i s s o l u t i o nF or m DR- 3.( Yo umus t c o n t i n u et o f i l er e p o r t su n t i la N o t i c eo f D i s s o l u t i o ni s f i l e d. )

    CASH ON HAND a t t h eb e g i n n i n go f t h er e p o r t i n gp e r i o d. ( T h i sI s t h et o t a lo f a l lmon i e s h e l dby t h ec ommi t t e e. T h i samount MUST b e t h es ame a s t h ec a s hon h an da t t h ee n do f t h el a s tr e p o r t i n gp er i o d , o rmust be z e r oI ft h i si sf i r s tr e p o r tf i l e d. ) .. . .. .. .. ,.. .. .. . . ... .. .. .. .. .. . $

    ADD TOTAL MONEY TAKEN I NTHI S PERI OD

    Sc h e d ul e A: Ca sh Co n t r i b u t i o n st o t a l( A t t a c hSc h e d ul eA) ( * a l s os e e I n - k i n db e l o w ). . . .. .. ..Sc h e d ul e F : Lo a n s Re c e i v e d t o t a l( A t t a c hSc h e d ul eF ).. , . ,.. ,. .. ,. . . . . .. .. .. . . .. . . .. , . ,.. . . . . . .. . . .. .. .. , . . .

    Sc h e d ul e H: T o t a lSa l e s o fCamp a i g nP r o p e r t y( A t t a c hSc h e d u l eH). . . . . . .. . . .. . . . .. . . .. . . . . . . . . . . . . .

    ( Sc h e d ul eH a p p l i e st o Ca n di d at e s ' Commi t t e e sO n l y ) .

    SUB- TOTAL . . . . . .$

    SUBTRACT TOTAL MONEY SPENT THI S PERI OD

    Sc h e d u l eB: Ex p e n d i t u r e st o t a l( A t t a c hSc h e d ul e B ) ( * * a l s os e e d e b t sa n d l o a n sb e l o w ).. .

    Sc h e d u l eF : Lo a n Rep a ymen t s t o t a l( A t t a c hSc h e d u l eF ) . .. .. .. . ,. ,. ,. .. ,.. . . .. ,. .. ,.. . . . . . . . . . . . .. .. ... .CASH ON HAND a t t h ee n d o f t h i sr e p o r t i n g p er i o d( i ff i n a lr e p o r t ,b a l a nc emus t

    be z e r o ) ( A t t a c hDR- 3 ). . . .. .. .. . . . . . . . . . . .. ,.. . . .. .. . . .. . . . . . . . . . . .. ,. . . . . . . . . . . . . .. . . . . .. .. . .. .. . .. . ... .. .. . .. .

    ... . $

    " UNPAI D BI L L S( F r o mSc h e d u l eD - A t t a c hSc h e d ul e D) . . ,. .. .. . . .. .. .. . . . . . .. .. .. . . .. . ,. . ,.. . . ,. , . . .. . ,.. ,. ,. . $

    * I NKI NDCONTRI BUTI ONS( F r o mSc h e d u l eE - A t t a c hSc h e d u l eE) . . . . . . . . . . . . . .. ,. . . . . .. , . ,. ,. .. ,. .. ,. $

    " OUTSTANDI NG LOANS ( F r o mSc h e d ul e F - A t t a c hSc h e d u l eF ). . . . . . . . . . .. . . . . . . . . .. ,. . ,. . .. , . ,. . . ,. . ,. .. .. .. .. . . $

    CANDI DATE COMMI TTEES ONLY ;

    CONSULTANT BREAKDOWN ( S c h e du l eG A t t a c h e d ? )

    VALUE OF CAMPAI GN PROPERTY ( F r o mSc h e d ul e H - A t t a c hSc h e d ul eH)

    FORM

    DR- 2( Re v . 0 1 / 2 0 0 1 )

    DI SCLOSURE

    REPORT

    F o r Of f i c eUs e O nl y

    Comm, #

    I n d ex e d l l w'- ~ 2

    Au di t e d ( 7 l - t 7 - V_

    Compu t e r fni ~ 4- WV

    J AN 1 7 2 0 0 2

    ( 7 1 2 ) 6 47 - 3 4 90 _

    Lo c a l Commi t t e e s , e n t e r Da t e o f E l e c t i o n

    Co u n t y & Lo c a l Commi t t e e s , e n t e r Cou n t y i nwh i c hE l e c t i o nI s h el d

    9 51

    V _ Cc C

    e V4 0 f ' L l e P" Y u

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    F o rI n s t r u c t i o n s ,Se e Ba c k o f Fr

    CONTRI BUTI ONS -MONEY TAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

    COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i on)

    ' D i s c l o s u r el a wr e q u i r e sc a n d i d a t e c o mmi t t e e st od i s c l o s et h er e l a t i o n s h i po fa n yr e l a t i v ema k i n ga c o n t r i b u t i o nt ot h ec o mmi t t e e. R e l a t l o n s h i pm u s tb e s h ownt ot h et h i r dd e g r e eo fc o n s a n g u i n i t y( b l o o dr e l a t i v e s )a n da f t * ( r e t a d v e sb ym a r r i a g e )( S e ePa ge 2o ff o r m ap a c k e t. ). I fs u r n ameo fc o n t r i b u t o rt ot h esame a s c a n d i d a t e ,b u t t h e r eI sn oWMI al 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 nt h er e l a t i o n s h i pc o l u mn.

    SUB- TOTAL

    TOTAL ( Nl a s t p e p s o f Wes c h a df d s )

    SCHEDULE

    , A MONE- A( R e v. 0 6 / 9 7 )I RECEI P

    Q CHECK THI SBOAMENDI NGFOR

    STATE CANDI DATESNOTE I F * CONTRI BUTI ON I SRECEI VEDFROM A STATE PAC ( POLI TI CALACTI ONCOMMI TTEE). L I S TTHEPAC I DENT I F I CAT I ONUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COLUMN . A USTOF I DNUMBERS I SAVAI LABLEFROM THE I OWA ETHI CSAND CAMPAI GNDI SCLOSURE BOARD .

    CAUTI ON: S e c t i o n6 8 1 3. 3 2 A ( 6 ) ,I o wa Co d e,p r o h i b i t st h eus e o f i n f o r m a t i o nc o p i e df r o mr e p o r t sa nd s t a t e m e n t sf o rs o l i c i t i n gc o n t r i b u tf o ra n y c o mme r c i a lp u r p o seby a ny p e r s o no t h e rt h a ns t a t u t o r yp o l i t i c a lc o mmi t t e e s.

    $ Zs - 2 5 7-

    o f_< 1 0 0( f o rS c h e d u l eA )

    DATE PAC I DNUMBER NAMEAND ADDRESS OFCONTRI BUTOR RELA71 ONSHI P AMOUNT 4RECEI VED ( i fa p p l i c a b l e ) TOCANDI DATE' RECEI VED( MM/ DO/ YR) AND PAC CHECK ( I fa p p l i c a b l e )

    NUMBER

    I D#

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    CAp t DI DATE ` / NAME AND ADDRESS TOWHOMI DNUMBER EXPENDI TURE( i fa p p l i c a b l e ) ( Di s b u r s e me n t )WAS MADEAND PACCHECK

    NUMBER

    PURPOSE( DESCRI BETRANSACTI ON)

    COMMI T TEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n)

    WMERS TRUST& S AV I l 'Woodb i n eO f f i c e5 1 0L i n c o l nWay

    PO Bo x1 1

    TOTAL ( i fl a s tp a g e o f t h i ss c h ed u l e)

    THI SBOX APPL I ESTO CANDI DATES' COMMI TTEES ONLY :

    Pu r c h a s e s o f c e r t a i nc 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 must a l s obe i n v e n t o r i e don Sc h e d u l eH. ( R e f e rt o Sc h e d u l eH i n s t r u c t i o n s. )

    Ex p en di t u r e st op e r s o n s i e n t i t l e sp r o v i d i n gc 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 ,manag i ng , o r g a n i z i n gs e r v i c e smust a l s obe d e t a i li t e m i z eoSc h e d ul eG by t h eamount , p u r p o s e ,and d a t eo f e ach t y p eo f e x p e n d i t u r emade b y t h e p e r s o n / e n t i t yon b e h a l fo f t h ec a n d i d a t e ' sc ommi t t e e. ( R e fSc h e d ul eG i n s t r u c t i o n sand I owaCode 5 6 . 6 ( 3 ) ( 1 ). )

    Page _/ _ o f _ _- Z

    ( f o rSc h e d u l eB

    FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULE

    EXPENDI TURES - MONEY SPENT FROM COMMI T TEE ACCOUNT MONET ARY( Rev. 0 9 1 9 7 ) EXPENDI T

    STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DEOR LEGI SLATI VECANDI DATES,L I S TTHE CANDI DATEI DENT I F I CAT I ONNUMBER I NTHEDESI GNATEDCOLUMN AND THE [ , f CHECK T HI S BOXPAC CHECK NUMBER FOR EACH EXPENDI TURE. A L I S TOF I DNUMBERS I SAVAI LABLEFROM THE I OWA A t V I ENDI NGFORMETHI CS& CAMPAI GNDI SCLOSUREBOARD .