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COMMI TT EE NAME ( Mu s tb e s ame a s o n S t a t e me n t o f Or g a n i z a t i o n )

I MPORTANT: i r c a t e # t y p eo f c o mmi t t e ey o u a r e r e p o 6n gf o rWY( 1 ) S t a t e w i d e / L e g i s l a t i v e / j u d g eS t a n d i n gf o rR e t e n t i o nC a n d i d a t e( 2 Mf :

~ SURE( 4 ) C o u n t yC e n t r a lC o mmi t t e e( 5 ) C o u n t yC a n d i d a t e( 6 ) C i t yCa n d i d a t e7 ) S c h o o lf j o a r + do r Ot h e rP o l i t i c a lS u b d i v i s i o nCa n d i d a t e( 8 ) C o u n t yPAC ( 9 ) Ci yPAC ( 10) , Sc~

tf 7

1 G:

S u b d i v i s i o nPAC ( 1 1 ) L o c a lB a l l o tI s s u e 5 ~" 1 y 1C a n d i d a t eName P o l i t i c a lP a r t yOf a p p l i c a b l e )

C ) CS 6 dC7 & 4 f t ' l h Md c r a ~O f f i c eS o u g h t D i s t r i c t( o fS en a t e o r H o u s e )

1 o w AM y v s e _ 1 -L a t er e p o r t sa r es u b j e c ti o p os s i b l ec i v i la n d a i n i r t a lp e n ap i e s. P u r s u e n tl o ol o wsC o d e s e c t i o n6 8 B. 3 2 A ( 7 )t h ec a n d i d a t e ,f o ra c a nd i d a t e ' sc o mmi t t e e ,a n d t h e c h a i r p e r s o n ,f o ran y o R p j Ay V F9 Z R& f0 9 9 , i st h ei n d i v i d u a lr e s p o n s i b l ef o rf i R r t gt i me l ya n d a c c u r a t er e p o r t s.

DATESI B s l 30 0

IAM F I L I N GA REPORT FOR ( 1 )ELECTI ON/ ( 2 ) NON- EL EC TI ONYEAR .

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

' J CHECKI FAMENDMENT T O REPORT OATED G 1 2 1 0( 4 #

0C h e c k

i ft h i si s f i n a l( t e r mi n a t i o n )r e p o r tan da t t a c h No t i c eo f D i s s o l u t i o n

Fo r mD R- 3 -( Yo umus t c o n t i n u et o Me r e p o r t su n t i la DR- 3 i s t i l e d. )

STATEMENTOF CASHON HANDCASH 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 o t a lo f

a l lf u nd h e l db y t h e

c o r r n h i l l e e. T h i sa mm n t MUST b e t h es ame a s t h ec a s h o n h a n d a t t h ee n do f t h e l o s tr e p o r t i n gp e r i o do r mas t b ez e r o t it h i s i sf i r s tr e p o r tf i l e d. ) . . .. . .. . . . .. . . . .. .. .. . .. .. . .. . . .. .. . .. .. . .. .. . .. . E

ADD TOTAL MONEY TAKEN N T HI SPERI ODS c he d u l eA : C a s h C o n t r i b u t i o n st o t a l( A t t a c hS c he d u l eA) ( ` a l s os e e i n - I d n db e l o w). . .. .. .. . . . .. . .. . . .. .. .. .

Sc h ed ul e F: L o a n s Re c e i v e dt o t a l( A t t a c hS c he d u l eF ).. .. .. . . . . .. ... .. . . . . .. . _.. . . ... . .. . .. .. . .. .. . . .. .. . .. .. .. ... . .. . . . .. ..

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

( Re v . 1 2 / 1 0 0 5 ) REPORT

Fo r O f f i c eUs e 20

Co mm . a

L o g g e d I n

S c a n n e d

C o mp u t e r

A u d i t e d A . c . ~ -

F i l ew i t h:l a v aE t h i c san d C a mp a i g nD i s c l o s u r eBo a r d5 1 0 E . 1 2 " ' ,S t e. 1 ADe s Mo i n e s , I o wa5 0 3 1 9Fa x: 5 15 - 2 8 1- A0 73

SI GNATUREOF PI 3 t S ONFt J Ni GR13 PORT

TELEPHONE

5 3 - ` 5 0- 6 1 4 6

L o c a lCo mmi t t e e s ,e n t e rDa t eo f E l e c t i o n

Co u n t y& L o c a lCo mmi t t e e s ,e n t e rCo u n t yi nw h i c hE l e c t i o ni s h e l d

745 . oo

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

FOR I NSTRUCTt ONS,S EE BACKOF FORM

_ DI S C L OS U RESUMMARY PAGECOMMI TTEE NAME ( Mu s tb e s ame a s o nS t a t e me n t o f Or g a n i z a t i o n )

I h I P ORTA NT I m d 1 c a t ec y a t r ee o fc o r , m I t t e oy o u a r e r r p e n i n gl c r: Ut t t S t a t n ws c e L e g+ s l a l i v 2 i J Ua gaS " andmg f o rR e t e n t i o nCa n d i d a t e( 2 ) S l a t ePAC ( 3 ) S t a t eP a r t y14 j Ce un t yc e n t r a lC o mma l e e ( 5 ) C ou n t y Ca n di d a t e16 ) C, t yCa n d i d a t e( 7 1 S c h o o lBo a r d o r Ot h e rP a l , t i c a lS u t a i v t s i o rCa n di d at e ( 8 ) Co u n t yPAC ( 8 ) C ~ t yPAC ( 1 0 ) S c h od Bo a r d o r Ot h e rP o h t r c a l

s i o rPAC ( 111 L o c a l Ba t ( n( I s s u e _ANDI T - MMI TTEECOS L Y:

C a r x i d a t r: Name P o l i t i c a lP a r t y( i fa p pl i c a b l e )

V i .. S h e ~ . r i r n U r-

i wwo m~0 f f i c oS o u g h t

l ou k iL a t e r e po r t sa r e s u b j e c tt o p o s s i b l ec i v i la n d c r i m i n a lp e n a l t i e s. P ur s u a n t t o I o waC o d e s e c t i o n6 8 8, 3 2 A( 7 )t h ec a n d i d a t e ,f o ra c a n d i d a t e ' sc o mmi t t e e ,a n d t h e c h ai r p e r s on ,f o ra n y o t h e rt y p eo f c o mmi t t e e ,i s f t

I r e s f P a e ie o r f i l r n gt i f ya n d a c c u r a t er e p o r t s

IAM F I L I I J I ,A 6 f ) ' l o ( o

ADD TOTAL MONEY TAKEN I NT HI S PERI OD

( r e p o r td a l e )

CHECK I FAVU4 Dt i r r T TTO REPORTDATES

D i s t r i c t( 4S e n at o o r H o u s e )

0 C h e c k i ft h u si s f i n a l( t e n I n a ( i n n) r e po r ta n c ja t t a c ht J a t , ',,o t 0 1s s c i u l i o n.F o r r n.QR- 3. -( Yo u mus t c o n t i n u at o f i l er e p o r t su n j i )a DR- 3 i s f i l e d)

' 5 1 3- ~ 5 0- 6 1g O C i o &TO- E P Ft ON E DAT E - S I GN E D

REPORT F C) R( 1 )E L E CT I ONI ( 2 ) N ME LE CT I ONYEAR

CASH ON HAND a t t h e b eg i n n i n go f t h e r e p o r t i n gp e r i o d. ( T c ( a lo f a l lf u n dsh e l db y t h ec o mmi t t e o. T t u eamou nt MUST b e t h es ame a s t h ec a s h o n h a n d a t t h ee n do f t h e l a s tr e p or t i n g p e r i o do r mus t b e z e r oi ft h i si s f i s tr e p o r tf l e d. ) . . . . . . .

I n d i c a t eb y #

STATEMENT OF CASH ON HAND

. . . . . . . . ~~o - 7a 4 98

L o c a lCo mmi t t e e s ,e n t e rDa t eo f E l e c t i o n

Co u n t yb L a c a lC or n mi t l e e 3 ,e n t e rCo u n t yi nwh i c h E l e c t r o ni s h e l d

FORM

DR- 2

( Re v 1 2 1 2 0 0 5 )DI SCLOSUREREPORT

F o r O f f i c eUs o On l y

Co mm 0t - o g g e oI rk

S c a n n e a

Co r r p u t e r

Au d i t e d

F i l e wi t h:I o wa E ( h i c sa n d C amp a i g nD i s c l o s u r eBo a r d5 1 0 E . 1 21" , St e 1 ADe s Mo i n e s , I o wa 5 0 3 1 9Fa x: 5 1 5 - 2 9 1 - 3 7 0 1

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F o r I n s t r u c t i o n s ,Se e B a c k o f Fo r m

CONTRI BUTI ONS- - MONEY TAKEN I Nt i n - J u d i n gc a n d d a t e ' sp e r v n s lf u n d s )

COMMI TT EE NAME ( Mu s t b es a m e a s o n St a t e me n t o f Oi; g a n i z a t i o n )

E l e s h aGa dmaa f o rI o wa

R e a e tFomt SCHEDUL EA

( R e v. 0 7 1 0 3 )MONETARY

RECEI PTS

a CHECKT HI SBOXI FAMENDI NGFORM

STATE CANDI DATESNOTE: I FAC ON T RI B UT ' O NI $ RECEI VEDFPOMA STATE PAC( POLMCALACTI ONCOMMI TYEE) ,L I S TT HE PA CI D EN TI F I C AT I ONNUMBERA , N OTHE PAC CHECKNUMBERI NTHE OFSI GNAI EDCOLUMN. A L I S TOF I DNUMBERSI SAVA , L A B LE FROMT VI E I OWAETHI CSAND CAMPAI GND I S C- OSURE 60ARD .

NOTE. ANY PERSON, OTHERTHAN ANI N DI V I D U ALTHAT CONTRI BUTESMORE THAN$ 7 5 0TO YOURCAMPAI GN MAY HAVE F I L I N GRESPONSI BI LI TI ESANDSHOULDI MMEDI ATELYCONTACTT I L EBOARD.

CAUTI ON: S e c l l o n6 8 8 3 2 A ( 6 ) ,p r o h i b i t st h eu s eo fI n f o r m a t i o nc o p i e df r o mr e p o r t sa n ds 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 t i o n sof f o ra n yc o mf n e r 6 J l p u r p o s eb ya n yp 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.

DATE SAC I DNUMBER ~ ! F _ 1 , ~ I S I - 1 r L t i 7 l ~ D T f ES S OF CONTRI BUTOR RELATI ONSHI P A ! T [ K I 1NT 4 I FF ORRECEI VED ( i fa p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN' S

( MWDDI YR) ANDPAC CHECK ( i fa p p l i c a b l e ) RAI SERNUMBER I NCOME

l o #J i m Wi l s o n $ 2 0 0. 0 05 .1 9 i 0 t i CK# 2 8 1 3S c e n i cPL- We s t Dc sMo i n e s ,I A

- - I D#J o h nC r a b t r c c $ 2 5. 0 05; 1 9. ' 0 6 CKdPO Bo x 2 2 - 1- L y o n s ,NE

I D#Dr . J o cS c n g 5 2 5. 0 0S: ' ' 0 % 0 6 CK i t 4 8 0 4N o r t b a e; t B l v d. - D a v e n p o r t ,I A

Un d i s c l o s e d 5 1 5. 0 05 - U; UG CK#

I D i tDi a n eM c C a r t h y

$ 3 0. 0 05 ' 2 0 %U6 CK# R1 9 1 7 t hS t r e e t- R o c k I s l a n d ,I L

Un d i c l o s e d $ 1 5. 0 0s '5 ' 2 0 , ' 0 6 CK#

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F o r I n s t r u c t i o n s ,Se e Ba c k o f F or m

CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d , n ge a n d i d n 1 e ' sp e r s c n a lf u n d s )

R e s e tF o r m SCHEDULEA

( Re v. 0 7 1 0 3 )MOt - I E TA RY

R E CE I P T S

E] CHECKT HI SBOX ; F

COMMI TTEE NAME( Mu s tb e s a me a s o r St a t e me n t o f 0 g s ni r a t l o n )

AMENDI NG FORMF I e s h a6 a y n -a n f o r I o wa

STATE CA ND I D AT E S N OT E: I FAC ON T R I B UT I O NI SRECENE0FROMAS TAT EPA C( P OL I T I C A LA C T I ONC o ! M k l I T T S E) , L I S TT HEPAC I D EN T I F I C AT I ONNUMBERANDT I( E tPACCHECKNUMBERl uTHED E S I GN AT E DC OL J I A N. A L I S TOF f ONUMBERSI SAVA I L A B L EFROMT HE I OWAE T HI C SANO CAM: f J G NDI SCLOSUREEOARD

NO- IE . A N` !PERSON, OTHER THAD4AN I N DI V I QUA L ,THAT CONTRI BUTES MORE THAN $ 7 5 0 T OYOUR CAMPAI GN MAY NAVE FI L I N GR ESPON SI BI L I T I E SAND SHOUI D I MME DI AT E LYCONTACT THE BOARD

CAUTI ON: S e c t i o n6 i t 83 2 A ( 6 ) ,p r o h i b i t st h eu s eo f i n f o r m a t i o nc o p i e d f r o mr e p o r t san d s t a t e me nt sf o rs o l i c i t i n gc o n t r i b u t i o n so r f o rDr yc o mme r c i a l p u r p o s eb y a n y p e r s o no t h e rt h a ns l a t u l o r yp o l i t i c a lc o mmi t t e e s.

DATE'

_ t o t UMB - l: L l u l x ~ l d L ~ TJ ~ L 1: 1 ` I 3 ~ ~ FCONTRI BUTOR RELATI ONSHI P' AMOUNT I FFORR E CE I V E D ( i fa p p l i c a N e ) TOCANDI DATE' R E CE I V E D FUND

( MMI DD1YR) ANDPA C CHECK ( i fa p p l i c a b l e ) R AI SE RNUMBER I NCOME

I D#Ca r o l & D a v c Br o wn $ 5 0 . 0 0 L 7. /-5 / 2 0 : 0 6 CK# 1 7 7 5 Pl y mo u t hDR - Ber t en d or i , l i t

I D#Anne Co r b i 5 2 5 . 0 0 J

5 ' : ' 0 ' 0 6 CK#6 2 9

Br o w nS t r e e t-D a v e n p o r t ,

L 4

Mo n i c aKu r t h $ 5 0. 0 0S , u. o h CK# 1 9 3 3 N . Nf ar q u e t t eST- Da v en p o r t , I A

I D#Un d i s c l o s ed

5 ? 0 . ' O G CK#

I D #Un d i s c l o s ed

$ 2 0. 0 0/ %2 0; 0 6 CK#

I D#U n d i s c l o s e d $ 1 0. 0 0

5 / 2 U: O t i C K#

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F o r I n s t r u c t i o n s ,Se e B a c k o f F o r m

F l c s h aGa y i n a nf o r I o wa

CONTRI BUTI ONS - - MONEY T AKEN I N( ' n ch dn ; c a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TT EENAME ( Mu s tb e s ame a s o n St a t e me nto f O t g a n i z a t i o n l

SCHEDUL E

A( R e v. 0 7 1 0 3 )

MONET ARY

RECEI PT3

CHECK T HI S BOX I FAMENDI NG F OR%1

STATE CANDI DATESNOTES I FA CONTRI BUr I O NI SRECE VE CF ROMA STATE : A r ,( P OL I T I C ALACTI ONCOMMI TTEE). L I S TTH EPAC I D EN T I F I C AT I O NN t } ( ,1PER ANDT s t r tPAC CHECKNUMBERI NT I - - EDESI GNATEDCOL UMN . A L I S TOF I O NUMBER S I SAVAI LABLEFROM THE I OWA ETHI CSAND CAMPAI GNDI SCLOSURE-t". 0 A RD

NOTE: ANY PERSON, OTHER T H AN A NI NONI DUAL,THAT CONTRI BUTESMORE THAN$ 7 5 0TO YOUR CAMPAI GNMAY HAVEF I L I N GRESPONSI BI L17 1FSAND SHOULD I MMF. DI AT ELYCONT ACT THE BOARD .

CAUTI ON : Se c t i o ne AB 3 2 A ( 6 ) ,p r o h i b i t st h eu s e o f I n f o r m a t i o nc op i e d f r o mr e p o r t sa nd s t a t e me n t sf o rs o l i c i t i n gc o n t r i b u t i o n so r f o ra n yc o mme r c i a l p u r p o s o b y a n y 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 m m i t t e e s.

DATE PAC I NU M RELATl I P : f I FFORRECEI VED ( i fa p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-

( MVJDDI YR) AND PACCHECK ( i fa p p l i c a b l e ) RAI SSRNUMBER I NCOME

I D#H e l e nN l i l l e r $ 2 5. 0 0

-5 ' 23 . ' 0 6 CK# 1 9 ? 61 5 t hAv e n u e N - f o r eDo d g e , I A

I D#

Su e F r e mb g c n ~2 5 , 0 0S ' 3 0 ' OG CK# 1 0 3 3Ki r k wo o dWv d, - D a v e n p o r t ,I A

I D#Un d i s c l o s e d 5 ? 0. 0 05 1 30 ; 0 6 CK#

I D#

CK#

I D#

CK#

I D#

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C:I.

FOR I NSTRUCTI ONS. SEE BACK OF FORM R e r 3 e tF o r m

EXPENDI TURES- - MONEY SPENT FROM COMMI TT EEACCOUNT

STATE PAC COMMI TTEES : NOTE: FOR CONTRI BUTI ONSMADE TO STATEWI DEOR L E GI S L AT I V ECAN D' DATES. L I S TTHE CANDI DATEI D EN TI F I (: AlI ONNUMBE R I NTHE DESI GNATEDCOL UMN AND THEPAC CHECK NUMBER FOR EACHEXPENDI TURE. A L I S TOF I DNUMEERS I SAVAI LABLEF ROMTHE I OWAETHI CSk CAMPAI GNDI SCL OSUREBOARD

COMMI TT EE NAME ( Mu s t b es ame e s o n St a t e me nto f O r g a n i z a t i o n )

E l e s h aG a y m a n f o r I o wa

CHECK T HI S BOX I FAMENDI NG FORM

CANDI DATE NAME ANDADDRESSTO WHOM PURPOSE ANI OU" +TDATE I DNUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDED

EXPENDED ( I fa pp l i c n b' e ) ( 0 i s h u r s e me n t )WAS MADE( MI A DD ,-~ R ) AND PA C

CHECKNUMBERID#

C a r t e rP r i n t i n g Yar d S i g n s5 / 1 6 / 0 6

CK# El e c t r o n i cDc s Mo i n e s ,I A $ 8 9 4 , 3 8

ID#C a r t e rP r i n t i n g T - s h i r t s

; I 1G , ' O GCK# El e c t r o n i c

Dc ; : Mo i n e s , T A $ 5 0 3. 7 2

ID#L a nc e r s G r i l l Da y o f A c t i o nV o l u n t e e rL u n c h e o n-

S; 1 7 , 0 6 CK # E l e c t r o n i cE l d r i d g e ,f A T r a i n i n g X 1 2 2. 8 1

1 D#Re v i e wP r i n t l n 0 Ca mp a i g n L i t t e r a t u r e

5 ' 1 7; 0 6CK # R o c k I s l a n d , I L $ 3 7 9 . 0 ( 11 0 2 6

I D#USPS P o s t a g e

s ! 1 9 , ' G f ,CK#I

:, I e c t r n n i c

Da v e n p o r t ,1 A $1 4 . 4 0

I D# Go D a d d y O n l i n eS e r v i c eF e e5 1 2 4. ' 0 6

CK# El c c t c o n t cS c o t t. s d a l e ,AL $ 1 1. 4 6

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FOR I NSTRUCTI ONS. SEE BACKOF FORM

EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT

STATE PAC COMMI TTEES : NOTE: FOR CONTRI BUTI ONSMADE T OSTATEWI DEOR L E GI S L AT I V ECANDI DATES. L I S TTHE CAND' DATEI DE NT I F I C AT I ONNUMBER I NTHE DESI GNATEDCOL UMNAND THEPAC CHECK NUMBER FOR EACHE XPE VDI TU REA L I S TOF 1 0 NUMBERS I S AVAI L A B L EFROM THE I OWAE TH K' , St 1CAMPAI GNDI SCLOSUREBOARD

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

E l c s h aGayman f o rI o wa

SCHEDUL E

B MONETARY( Re v . 0 7 1 0 3 ) EXPENDI TURES

CHECK T HI S BOX I FAMENDI NG FORM

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I DNUMBER EXPEND' TURE ( DE S CRI B ETRANSACTI ON) EXPENDED

EXPENDED ( i fa p p l i c a b l e ) ( O S b 4 j r s c m e n f )WASMADE( M MI D D+ Y R )ANDPAC

CHECKNUMBER

I D#Re v i m P r i n t i n g P o s tC a r d sf o rP r i ma r y Ma i l i n g

5 1 3 1; ( 1 6 CK# 1 0 0 2Rock I s l a n d ,I L $ 1 5 7. 5 0

I D# P a p aJ o h n ' s Vo l u n t e e rF o o d5 i _ , 1 ! 0 0

CK# 1 0 0 4D a v e n p o r t ,T A $ 3 0. 0 0

I D#

CK #

I D#

C K#

I D#

CK#

I D#-

CK#

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FOR I NSTRUCTI ONS,SEE BACK OF FORM

- r F ,: . ' 1; - .~ r

COMMI TT EE NAME ( ff u s tb e same o s e n S t a f e n n en io f Or g a n i z a t i o n )

F l e s h aGuy man f o rl o ws

SCHEDULE

E I 1 4 - K I N D, (Re v . 0 6 1 9 7 CONTRI BUTI ON:;

[ ] CHECK T HI S BOX I FAMEND ; NG FORM

DATERFCEI VED

( K I M I DO. r ' ~ RNAM=_AND ADDRESS

OF CONTRI BUTOR

R EL ATI ON SHI PTO CANDI DATE

a p p l i c a b l e

DESCRI PTI ONOF I NK I ND

CONTRI BUTI ON

ESTI MATEDFAI R MARKET

VALUE

v I FFORF UN D- R A I S ER

CONTRI BUTI ON

j 1 2 0 i O t iA l t aP r i c e4 5 3 3S c h o o l h o u s eRD - B c t t c n d o r f ,T A

F u n d r a i s i n g ,f o o dl o c a t i o n ,e n t e r t a i n.

6 8 4 5. 0 0J

5 i 2 11 0 6Sc o t t Co u n t y D e mo c r a t s1 4 1 6W . 1 6 t hST - D a v e n p o r t ,T A

O f f i c eS p a c e 5 0. 0 0

a0

0F- 1

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FOR I NSTRUCTI ONS. S EE S A C - h ,OF FORM

T HI SFORM I S USED BY CANDI DATES'COMMI T TE ES ONL Y

COMMI TT EE NAME ( f t ' u s 'b e s a r r r ea s c n S r a t a me n to f O f g a n i z a t i o n )

F l e s h yi , - a y n t a nf o rI o wa

PART I - ONGOI NGI NVENTORYOF CAMPAI GNPROPERTY PART 1 1- SALESOR TRANSFERSOF CAMPAI GNPROPERTY"

SC=HEDULE

H( R: v . G 7 ( 0 3 )

CA : ' PAI GNPROPERTY

ATTACH SCHEDUL E H T OEACH REPORT, MA) UNG

CHANGES AS REQUI RED.

CHECKT HI SBOXI FAMENDI NGFORM

TOTAL VALUE CAVPA( GN PROPERT Y T HI SRER7RT PROPE RTY ALES& TRANSFERS TOTAL TOTALS ? 5( TRANSFER T O SUMMARY PAGE) $ ( TRANSFER TO SU NWARY PAGE) $

I t e s l r r a l M,s h o we s f. t e s i d ef ~,, U r e. ( A t t a c h A d d i tn n ~ S ut i e d U! ,i f N e e d e d ) P a g a`

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