Grundberg Betty716scanned

8/7/2019 Grundberg Betty__716__scanned

http://slidepdf.com/reader/full/grundberg-betty716scanned 1/24

FOP J N~TRUCTI ONS SEE BACK OF FORM

. - - . e .F : 1 1 1 1 1 7 1 : 1 1 1 1 -

< rt k g ; a

r .

SIt. A1 ' - ' l T - . ~ ri 7~6AL~

CEMr

FORM

DR- 2( Re v . 0 1 / 9 8 )

r 0 1 1 1 m Us e On l y

mm K

~ezed 1 4"

A u d i t e d _

Comp u t e r

DI SCLOSURE

REPORT

oWwt

I MPORTANT: I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :

( r ) S t a t e w i d e / l . e g i s Wt i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ; 3 ) S t a t e P a r t y ( a ) C o u n t y / L o c a l C a n d i d a t e1 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e Co mmi t t e e ; 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( 8 ) S u p p o r t S t a t e o f C a n d i d a t e s

a ' , - - . f l y ' ( s s )OF TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )

-

SI GNATURE

DI SCLOSURE SUMMARY PAGE

TEL EPHONE

Ro ut i n e P e n a l t i e s Du e Fo r L a t e F i l e d Re po r t s R a n g e f r o m $ 2 0 t o $ 8 0 0

SEE I NSTRUCTI ONS ONBACKANDCOMPL ETE THE FOL LOWI NG SENTENCE

AM F I L I N G A

( r e p o r t d a t e )

OCHECK I F AMENDMENT TO REPORT DATED

9 s - 9 ? . ? 3

0 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 t h DR - 3 .( Y o u mu 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 . )

/ ` 2 1 - 200

DATE S I GNED

REPORT FOR AWA ( 1 ) ELECT I ON / ( 2 ) NON- ELECT I ON YEAR

STATEMENT OF CASH ON HAND

I n d i c a t e o n e

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n

C o u n t y b 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

SUBTRACT TOTAL MONEY SPENT T H I S PERI OD

q -2 2 - . - 79S 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

S c h e d u l e F L o a n Re p a y me n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 o d ( i f f i n a l r e p o r t , b a l a n c e mu s t ~

0b e z e r o ) ( A t t a c h . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . - . . - . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . - . . . . . . . . . . . . .

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 LOANS ( Fr o mS c h e d u l e F - A t t a c h S c h e d u l e F j . . . . . . S

CANDI DATE COMMI TT EES ONLY

CONSULTANT 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) $

YE S NO

CASH ONHAND 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 l

o f a l l mo v i e s h e l d b y t h e c o mmi t t e e . T h i s a m o u n t MUST b e t h ec a r n e 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 f a s t r e p o r t i n g p e r i o d ,o r mu 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 t i l e d . ) . . . . . . . . - . - . - . - - . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN I N T H I S PERI OD

I D- L 4S c h e d u l e A C a s h 0 - - 7/ 0,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 )

S 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 Ca mp 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 o u l i e s t o C a n d i d a t e s ' Co mmi t t e e s O n l Y l

(S~~SUB- TOTAL . . . . 5 -



r v r I n su uc uv r l s , ac e D0 e . R o f n or m

CONTRI BUTI ONS - - MONEYTAKEN I t '

( 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 nd )

COMMI TTEE NAME ( Mu s t be s ame a s o n St a t e me nt o f Or g a n i z a t i o n )

6oUAwt ; e ec r e _ , - + ,e

SUB- TOTAL

TOTAL ( i f l a s t page o f t h i s

s c h ed u l e )

0 CHECK T HI S BOX I F

AMENDI NG FORM

SCHEDULE

A MONETARY

( Re v . 0 & 9 7 ) RECEI PTS

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 TTEE) , L I S T THE PAC I D E NT I F I C A T I O N

NUMBER AND THE PACCHECK 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 ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD .

CAUTI ON : Se c t i o n 6 6 8 . 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 ma t i o n c op i e d f r o m r e p o r t s an d s t a t e me nt 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 an y c omme r c i a l p ur 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 mmi 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 e

. R e l a t i o n s h i p m u s t b e s h own 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 y

( S e e 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 same a s c a n d i d a t e , b u t t h e r e i s n o

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 ul e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FOR

RECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ Y R) AND PACCHECK Of a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#r S ~a

r

° CK# . . 7u ' f - ~ r , 9 1 c -( act r Hear p t - , 2 . oi4G & Z . I e 7 S' - L - - I ~ 9 I

I D#i r C - ( - G i

_r 4Qr ~4

~~ 7 / ° , CK# Ca ° , " e )

I D#

1 9/ 0 CK# C - e

I D# r ' r t ' Y-~J S * r t e

Yl -7/ , , CK# C460 v i m,

I D#~; r Si nn - 9 ~-

Sl 3ol o~ CK# C a ~e ' ~e l- ~

" / l

I D#~l ~ST' Gl r ~4v t ~c

CK#t . ~ I o e Ve

l t r ' -S4- Q l r C Q h( c7/ .,~o / c ,

CK#

.

l~ o ~ o I CK# ` l .

I f QIOOJ' ~

I D#

CK#

r ' i ~ .S Tar ( J At n

~c q ~e >\ j e ).

I

b / 3 o ~o ,CK#

Ca6 o v e



r o r i n s t r u c t i o n s , bee OBCK OT r o r m

CONTRI BUTI ONS - MONEY TAKEN I N

( I n c l u d k l p c a n d i d a t e ' s p e r s o n a l h i n d s )

COMMI TTEE NAME ( Mu s t b e same a s o n S f a f e r n e n f o f O r g a n i z a t i o n )

t ~ f J u ~ u l i ^ ~ ~ ' cc -. e l e c f 6 - r N t i o 4 6e' q i ' '

SCHEDULE

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

s c h ed u l e )

CHECK T HI S BOX I FAMENDI NG FORM

A MONETARY( R e v . 0 6 1 9 7 ) I RECEI PTS

STATE CANDI DATES NOTE : I F A C ON T RI B UT I O N I S R E CE I V E D FROM A S T A T E PAC ( P O L I T I C A L A C T I O N C OMMI T T EE ) , L I S T THE PAC I D ENT I F I C A T I O NNUMBER AND T HE P AC CHECKNUMBER I N THE D E S I G NA T E D COLUMN A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T H E I OWA E T H I C S AND CAMPAI GND I S C L O S UR E BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d 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 an d s t a t e m e 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 y c o mm e 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 o m m i 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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h e

c 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 b y dm a r n 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 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 P a g e - _ o f

f 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 ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#WwI . # ~I i ~QLJ eI t ' l L I B. -oS1 a~a

( Oh 4l b ( CK# (. Fo S4Q" ~ $ / ~( /

1 ) = 5 7 6 9 i zI D #

K r 5 4 i D4 V I c - k

( 0 1 2 - 6 l o CK# ~ { 1 1 °I t Q I ( , r . n nw00d J a r .(M T7 ( r ~ S " c 2 6

I D#

d V l s t y + r t i S es ~COLAd

I ~dAv \c K#

l oz~ s - f . So- p e ~ = s v 2 20

1 t 7 / ~ 6 1 6 + '

I D#

CK#

EdWA

i0 d e t c '

~z 1 4 1 4 r = - o s - f d~y1 " - , SD( /

_r L - ~ - . So

r o ~ ~ ~ / o t

I D#

~' s o o n ~ ' . ~ o , , -4bt , - ~2CK#

A~sov

I Z

I D#~Or ' GJa G~

; ~yor o Cal A~l ~ l

t o / : 14 CK# swZ~' Z4- t , V. Sp c/

DSc t r l Z64S~

,

l 0h~l a(

I D#

CK#

~( ^ GNN 1 ~C i w~

3667 Cv c t r ~o r

N~

I ' g V ' e . I

- D S" v l - . I : - So312

/1D#

T~r . , o y* SLt ci ~q Dr e~ya. ,

CK# 321 - ( 9 h~vl e,t - v L >. t r .S' a

I D#R- o ~ ' ~

n, o f t ~s~a r 5 r c t r n c t t 3 F~O~ + + v l

I D#Yi nay4e C~r a e

~-

l ol ~~/ of CK# 314 C- l e t ^ v~e v - 2Sb



r o r i n s t r u c t i o n s , b e e d aCK o f i - o r m

CONTRI BUTI ONS - MONEY TAKEN I N

( I n c l u d f r q c a n d i d a t e ' s p e r s o n a l h x l d s )

COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

Cew. w . ; ~ 4 e 4 - o e l ee+ ( r u~, of be r ,j - t o + ue .

S T A T E C AN D I D AT E S NOTE I F A C ON T R I B U T I O N I S R E CE I V E D F R O M A S T A T E P A C ( P O L I T I C A L A CT I O N C OM MI T T E E) , L I S T T HE P AC I DE NT I F I CA TI O NNUMBER A N D T HE P AC C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T O F I D N U M B E R S I S A VA I L A B L E FROM T H E I O WA E T HI C S A N D C A MP A I G ND I S C L O S UR E B O A R D

CAUTI ON : Se c t i o n 668 . 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 ma t i o n c o p i e d f r o m r e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n g c on t r i b ut i o ns o r

f o r an y c o mme r c i a l p u r p o s e b y a ny 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 .

SUB- TOTAL


s c h ed ul e )

SCHEDULE

CHECK T H I S BOX I FAMENDI NG FORM

A MONETARY( R e v 0 6 / 9 7 ) I RECEI P T S

D i s c l o s u r e l a w r e q u i r e s c a nd i d a t e c o mmi 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 e

- o mmi 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 ns a ng 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 y 2Z9ma r n a g e ) ( Se e P a g e 2 o f f o r ms p ac 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 a m e a s c a nd i d a t e , b u t t h er e i s n o P a g e ~ o f . -_

f a mi 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 bl 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 Sc h e d u l e A)

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT v I F FOR

RECEI VED ( i f a pp l i c a b l e ) TO CANDI DATE' RECEI VED FUND-

( MM/ DO/ YR) AND PAC CHECK ( i f a pp l i c ab l e ) RAI SERNUMBER I NCOME

t o h G' l p /

I D # - ~e~CL1t w ~o~t . gr e c

C/CK# /00.

~s ~ ' r s d ~ IZI D # ~ , . . Wl v " S i - ~ a v v ~ / E t refS

IG I

GI / G , CK # ~ r oZ ? g 1 0 t i D r ' / O

' DswX-- t q Sa . 3 ( 2I D #

Q r f - - o f f J 4 K Tr 1 K I ' 1 Me6a1. s 1 1 .

b / a ~~o r CK # Z Z S- F 7 C > S Y- e r -I ) v ,

I D # ~~~Ps f We%AJ r V1Nl ° Y '

1 7 S - t . - ~ t ~ 4 Sf l 2

l Dl ~p / b ~

I D#

CK #

Ta wee S ~ - . g~

3 b 1 - j - Sak~ - ~ ~ Sd" L/c 7 5~ . ~ ~4 s f l r Z

I t 7 / ? o%

I D#A I o f -k ZK G k - e , r+

t Zool

1 CK# ~ 5 " 00 ° I

l 1 l Z/ 4 /

I D#G' , Co v "

S32

¢ l e a f j , l y "

ZCK # l e 0

"p I n n % o 1 2 _

/D#

Tkc %& A Pr $ Pa y V ( e 1 4 g I A v o kNe r

/o ( CK# I l k

r

o rZ '

~l l l l 01

I D #. - o w-

i t - 5a xFe4ows

1 2~C gt t r Y f i rCK# po ~( cS . p ~ .

~~l Z / 01

I D#

CK#

e , . . ; ur

Ayr- c - f ~

o ( 5 4I - S03



i - o r i n s t r u c t i o ns , bee c aCK OT I - o r m

CONTRI BUTI ONS - MONEYTAKEN I N

( i n c l u d i n g c a n d i d s t s ' s p e r s o n a l f u n d s )

COMMI TTEENAME ( Mu s t b 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)

CoJ A AM; ~~ee e~~cf V' U( A 4' E' - 4uSe. _

SUB- TOTAL

SCHEDULE

STATE CANDI DATES NOTE : I F A 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 D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN . A L I S T OF 1 0 NUMBERS I S A V AI L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 68 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 ma 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 n s o r

f 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 o mmi t t e e s .


s c h ed u l e )

CHECK T HI S BOX I F

AMENDI NG FORM

A I MONETARY

( Re v . O 6 / 9 7 ) RECE I P TS

. D i s c l o s u r e l a w r e q u i r e s c a nd i d a t e c o mmi 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 e

~ o mml t l e e R e l a t i o n s h i p mus l 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 ns a ng 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 y 2p

ma r r i a g e) ( Se e P a g e 2 o f l o r ms p ac 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 di d a t e , b u t t h er e i s n o P a g e - , o f

f a mi 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 bl 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 Sc h e du l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT v I F FOR

RECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE ' RECE I VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# . ~ a ~ n e I SI ^ o ~ O f ' °~~

' CK#133(0 ( f A5 L~ 1 - a ~ '

c v e 4 s o 3 2 - 5I D# KC1 4 vt e+ L . S ' e h u I +LA 0 - r

1 1 / 2 , / 01 CK# 3 1 0 1 } _ / e K r r . Sa r /

I D #

L y r ~\ / - 2 / o I CK# 3-Ta l sw 4F ' I /00 . /

D5+ ^ ~ \ L4 9- 1 1 3 2

( I l Z/ p l

I D#

CK#

, r o ~ , COI , - t A I t o 71" 1 3 a 3 Gr o c ~ a ~ # 32 y ~O 0 , t /

P : 5 T So t ZI D#

1/ QH4I Gd 4 bor o I \ y 4 4 0 J 4 t KI 1 Zl o CK# So 2 o 4grwoo o " {

Rt r ,

1 7 6 4 , 0 " Z - . _

t l Z t o )

I D #e l oer + v i e C 4 I L - t r ^ p f

o f 5 ' Y - DCK# a. r . . .i~1

S" o 3 IJO

SLMI D#

3I LI _~( l ass

r l z b CK# toe,S- , A^ t x ~ 5 ' t

I D #~

I D

6r o ' f i k y G' ar Pe a, AI \ / Z / o CK# t 1 oO 2 L f - F - k

o ' ~ 6I D#

L - AW1 r -4.AC e s o f ) AA a c . - ( I ) e N St g Pl e r

CK# 3So . 1 Cau e f-y - V SI -- ( . q S' e 32

k / 2 -

I D#

CK#

Ga1 CI c 1i 6 b r ' t e

- 7

by

ZS

r/

e



r o r i n s t r u c t i o n s , bee naCK Of I - o r m

CONTRI BUTI ONS - MONEYTAKENI K

( 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 TTEE NAME ( Mu s t b e s a me , a s on St a t a n e n t o f Or g a n i z a t i o n )

COwn; e e eGf r t o L . I Se -

QCHECK T HI S BOX I FAMENDI NQ FORM

SCHEDULE

A MONETARY( R e v 0 6 / 9 7 ) ` RECEI PTS

STATE CANDI DATES NOTE : I F A C ON T R I B UT I O N I S R E CE I V E D FROM A S T A T E PAC ( P OL I T I C A L A CT I ON C OMMI T T E E ) , L I S T T HE PAC I D ENT I F I CA T I ONNUMBER AND THE PACCHECK NUMBER I N THE DES I 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 H I C S AND CAMPAI GND I S C L O S UR E BOARD

CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d 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 m e 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 y c o m m e 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 o mm i t t e e s .

TOTAL ( i f l a s t p a g e o f t h i 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 m a k i n g a c o n t r i b u t i o n t o t h e- 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 b ym a r n a g e ) ( S e e P a g e 2 o f l 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 ,

s c h e du l e ) ( $

P a g e -~_o f( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

l 1 2 / e ,

I D# ~. Mav - C ' V. 1 GD v - 41 , 6 1 1 n 1 o ( n u f - ( ~ o o ~ u 1 o 7 - o v e r $ 1 /( CK# l p d

1 ) s s~3o ~I D# D. 0 t n ; S ,

I D # , ~

o v ~ a ` f ' L"

a t ~ l / i r ~ ~ r t i q F l e ' ( ' G~pl \ ~ Co l CK#

4 ;X900 SW S 0 r /h + ~ ~ - Sod2 I

I D#

l ~ l0 0 ( CK# 3 ~f o o , ~r a . . , oP ( Av e .

l 0a

t ~ Se 31 Z

1D# We " d a - l 1 Dowt i f ' 0( 1~?/6 1

CK # 5?2W9 c be r j j ' p " 1 _ ~ ) r .S 1 / l / 1 SOF I r Z

?/I t ,

CK# L l 1 6 - - 7 3 r o ( I Osd

CAr 1 0 e t " . . o Pa( : 1 = - G 4 so32 L

I D#v Vl I t g0&AA1 , e ~st r~er . . v

Z. . t o So7

I D#mat

t eS ~oww+4~

I \ l

/

~l 01 CK# 3

- wl = S' o 3 1 2 -

I D# C ( ~ t l r l c ~ E CI n r 1 S ' 1 - i v t , e 9 - e v t v x ; I ^ n

0 1 CK# agcl a S w3o- 1 - 1 , go,

Sd~2

l o #a r L t c ~ > R ' Susah ( ~a r v t e - t - ge l ~Y

1 ~? I

I p / CK#

1 L - ( GI V ' 1 - 1 1 )v

.



t - o r i n s t r u c t i o n s , bee naCK Of i - o r m

CONTRI BUTI ONS - MONEYTAKEN I .

( I n c l u d n p c a n d d a l e ' s p e r s o n a l f u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n l z a Uo n )

Cow. v ^ ' ~ ce ~ - v e eG~ +t , t 41o4S,- -


SCHEDULE

A MONETARY

( Re v . 0 6 / 9 7 ) RECE I PTS

STATE CANDI DATES NOTE : I F A CONTR I BUT I ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ONCOMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON - S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d 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 nt 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 y c o mme r c i a l p u r p o s e b y a ny p er 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 .

$13,00


s c h e d u l e )

D i s c l o s u r e l o 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 e

z o mm l 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 b yma r n 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 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 mn ( f o r Sc h e d u l e A )

SUB- TOTAL 5

Pa g e o f _2- _C

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT v I F FOR

RECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ Y R) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# Sa S r ! oWHi ~ ° -

t , - -r : > 0 v " ( 2 : ~~S6312

I D#Wa++S

CK# 3 c 4 I ° 1 S-W. a . LO- 1- S f . Z ` -.D

' _ -1 1 4 So?2 1

I D*

s +CwC P o S j e-V,

/ b CK# 2 - ( 5 P I ~ a Sc f . ~ " ~ - f ' - ( c 2 c I d vC> 3 e

II D#

CK#

S~~n D- ' 1 o P a I RL A aV

f ob I - ~ S~ -

p zL. s o zI D#

WW1 ; F I r t ~ Ke ( t eyCK# 3 I = , e ~ v - a t i e4 "~ ` 7 b ( , t C) . /

Swt Zv4 So312-

1\ / ~~b

1D#

CK#

Q~ ' f c ( ce c caW

131

eS+-hel #

- O LI Z Ece Skor

c e b4 So32SI D#Tom_

S bI \ ?6 CK# q He l l ,DO

h4 So / ' 7.

I D#~- rC( ~avG{ A

.Re' f -~

1/ V i ~cSear

7St v t 5 7 c 1 2-

1 ` S~O1

I D#Ta" A e g i s a , YT 1 i ee 4wder s o v l

s z ad cody D j , - ,I

CK#2S.

w . ~ ~SoZ~s

I D#J-p s C~

L 4a ~Q~y

p G' E' Gl , r u c ~E~ ` S o~ l

l S/ o1 CK# t ev e(eal at . %fSwt t o ~o?12

.



t - o r i n s t r u c t i o n s , a e e o aCK o f i - o r m

CONTRI BUTI ONS - MONEY TAKEN I ) .

( I n c l u d k q c a n d i d a t e ' s p e r s o n a l f w ~ d s )

COMMf TTEE NAME ( M u s t b e aama a s o n S t a t e r n o n i f o f O r g a n i z a t i o n )

COV^ w . ; 4 4 - e e - b e ( e r uv j L I e r ` I 6 4ousp-


SCHEDUL E

A MONETARY( R e v 0 6 1 9 7 ) R EC EI P T S

S T A T E C A ND I D A T E S NOTE I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E P A C ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T H E P A C I DENT I F I CA T I O NNUMBER A N D T H E P AC C H E C K N U M B E R I N T H E D E S I G NA T E D C O L U M N A L I S T O F I D N U M B E R S I S A VA I L A B L E F R O M T H E I O WA E T H I CS A N D C A MP A I G ND I S C L OS U R E B O A R D

CAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d 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 m e 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 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 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

$,


s c h e d u l e ): ) 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 m m 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 e

c o m m i t t e e R e l a t i o n s h i p m u l l 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 yr n a r n 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 a m 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 mn

SUB- TOTAL~DDa

P a g e - ° "_( t o t S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT v I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMODNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# Sa ~~s r Sd wav~SI t l s l o l CK#

3 o Z F s S' ^ ' 3 6r - ~c . S f -$

ao? ~ S VLA = I A So 2 -

.

1D#

~ v l ~~~I I CK# Z o v r ~ e / p d , v

wl i t - A s - " 3 1Z

I D #

e - , ~ , I.7' e- d.

Sa t 0 D 4 ( g 4 . ~ SCK# , 3 s o c : 5 k e r ; d a " t q , e _

( e -I D #

~NAIT1~ - . ~ Aal ' s ' ~6 1K ~' ~bGh S t t° A I C ' s t

l / C~/ d

I CK# 322 ' S r e - - r V' a et r . 1 00 / /v t n 1 4 S; 0 ? 1 2 -

1 D #J / l l ; L A ; C v e d Rr l 4L A or

CK# 35 Ad &v-AKd * I < ' L &I G ~. DOX > SVA s L A 03

I D #i f -ec e ( i ' a 4 ( A k o e I kc

CK# ss L A )

n+t ~6ecyZ

d v

L(1 ! ~ ' boo

her

0 ( 41 \ ( , D\ CK# L t o SD

I D#7aC k - *

( 7 e & r ~ ` i a I 4 Ae SL ~ v ^ i g ber

CK# y o l - 3 ~~ - L , p ~~-s

I D #a Ui ~ j ~ ! a St r ot A9

\+ CK# a£&4 t x pl .S

v

wo~Z I

I D #9 c t r ha r ~ meKd,

CK# p ar - v e"

r ~v , , X ASo 2 -



n o r i n s t r u c t i o n s , b e e o aC K O f r - o r m

CONTRI BUTI ONS - MONEY TAKEN I I -

( 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 d u l d s )

COMMI TTEE NAME ( M u s t b e same a s o n S t a t e me n t o f O r g a n l z e t l o n )

C o v - v Z ' f e e + - e eG v .


SCHEDULE

A MONETARY( R e v 0 6 1 9 7 ) R EC EI P T S

S T A T E C A ND I D A T E S NOTE : I F A C ON T R I B U T I ON I S R E CE I V E D FRO M A S T A T E P A C ( P O L I T I C A L A CT I O N C OM MI T T E E ) , L I S T T H E P A C I DE NT I F I CA T I ONN U M B E R A ND T HE P AC C H E C K N U M B E R I N T H E D ES I G NA T E D C O L U M N A L I S T OF I D N U M B E R S I S A V AI L A B L E FRO M T H E I O WA E T HI C S A N D C A MP A I G ND I S C L OS U R E B O A R D

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) I o w a C o d 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 m e 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 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 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


s c h e d u l e )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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h e

: o m m l t l e e R e l a t i o n s h i p m u s t b e s h o wn 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 ym a n a g e ) ( S e e P a g e 2 o f l 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 a m 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 mn

P a g e --- o f . _- _ , _( f o r S c h e d u l e A )

SUB- TOTAL $ ~O

O

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT v I F FORRECE I VED ( i f a p p l i c a b l e ) TO CAND I DATE' RECE I VED FUND-( MM/ DDI YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

/I D # I r e 0 v e - f - G ~ ~ + a YK I e $

R. W. c C)wt ^ ' ( f t S7 0V 2

\ 1 j 6 ~ o 1 CK #

AA .

- 2 - - e v I 3 v ; ~ ~ ; ~rCt t o 2e'

,

t /

DSt M r t e Si 7 3 Zt

I D#.

' t At VI

' C 1 ' 4 0 ' 1 7 1 A 0 KA r o u t ( ~ o a~ Wc r~ \ h / CK# S 915 E ' - l o.True I ° k - " ' x # - ? G Z v

w =~ d26~

( \ ' " ~ C CK# l r ( Z 3 Wo A l o w t i w"I

L t v tv t L4 1Z

` l ~7l O~

I D#Pol per~ LArt Ae°14

Si OWXG. { -

. ~0

. ! fCK#S L A A t , A S' a3 L

I D#t am , ~ E7 l i 2 a L o e f ~ SS4 c t ~So h

S+ S1 ~ ( c ) , CK # 2- 7 - 1 5 + I - , ? ~

w ( / 1 n 6 4 0 2 6 5

o l CK # S , ? t > b W, 9 +C r l our y K o ( ,Swt v 4

I D #P a - I ' v - i c S , A 1 1 ' , v

qa/o CK# S7 S Sbu~ h ~ o v ' ~ - ' Dr , Zoo . 1/

Wa ec ~I A o 3 6I D#

~Aa F- o

- 7 ~

e - Y

v t

~r ,I l ~ , b 1 CK # ~Z o s t /

5 70 3I D #

V~ , , 1 q B~~~ e - E - ~

k l 0 1 CK#s NA Sa3 I Z



r o r i n s t r u c t i on s , bee MaCK OT t - o r m

CONTRI BUTI ONS - MONEYTAKENh

( I n c l u d f c a n d i d a t e ' s p e r s o n a l h u l k )

COMMI TTEE NAME ( Mu s t b e s ame a s a n St a t e me n t o f O r g l t n l z a t l o n )

D i ' " I A- f 1°a eG Y_ t AN t 6 f A ' _ 4 I Use


SCHEDULE

A l MONETARY

( Re v 0 6 1 9 7 ) RECEI PTS

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ONCOMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O N

NUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF 1 0 NUMBERS I S A V AI L A B L E FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI 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 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 n s o r

f o r a ny c omme r c i a l p u r p os e b y a ny p er 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 .

SUB- TOTAL


s c h e du l e )

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 e

- 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 wn 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 Pa g ef 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 Sc h e d ul e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FOR

RECEI VED ( i f a p p l i c a b l e ) T O CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

I ~/ 1 a / 6 1

I D#

CK#

goJ l ' "K A c t t r - - - ( , ~ Gt

Vl mX.

Z ~ s bG1 ^ c ~ Ka( ~ 4 v ~ t - . t i c t os ' $ s t /

ost AA --~ 0 3I D# ~ e . } - E g y L A t CK# 2 ( 9 Wi 1 1 5

w T V4 ~ So2 - 6

I D#

~ t C ~ a v~ . ~ ' . . ~ a o ANh S~ r GLo r t - ~ -CK# - 7 . - 314- t , . Sy

5L t v t WSo 1 -2 -1D#

t r o f W- t a ^ d Fi t i c ( 1 - L e , i S, b CK#

3y wv a t e xAi 6 i ~ 6 ~

I D#

o Q 6 4 Soe SLfI D#

Sv, y i c y Fd s + i r r

I D# F r e d I ` L ' I k j c t Nes hj

CK# 4(S-54- t , S- f

So (DD7 3>sw V ` \ .

I D#' t 5 L A `TaX(o r

CK# t oo T' (wLVewVJ6©a Pr . j o0- Z 7W5 " O Z 6

I D#5"a ,v - Al l W

OI CK# 2~

b5

Pa= D C/

~So~Z

I D#

~ v

V~~4- C

c

V-

0 1

P

( e

1 - 4 VA I Aef

6 CK# e l I 1 ` 1 Al ' 1 0 ` u l ' . (OOsIAi z- so2 6 , ~

.



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

CONTRI BUTI ONS - MONEY TAKEN I I( h w k l d n p e a n d d a t e ' s p e r s o n a l h i n d s )

COMMI TTEENAME ( Mu s t b e s ame a s o n S t a t e me n t o ! O r g a n i z a t i o n )

f o r an 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 a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .

COMI M ' I ' 4 4ec - f ! 7 2c . Y s n o t z °Y - 4 D oU, Se

STATE CANDI DATES NOTE : I F A C ON T RI B UT I ON I S R E CE I V E D FROM A S T A T E PA C ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T THEPAC I D EN T I F I C AT I O NNUMBER AND T HE P AC CHECK NUMBER I N THE D E S I G NA T E D COLUMN . A US T OF I D NUMBERS I S A VA I L A B L E FROM THE I O WA E T H I C S AND CAMPAI GN

D I S C L O SU RE BOARD .

CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa C o d e , 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 a n d s t a t e m e 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

: 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 mmi 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 e- m mi 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 b ya ma g e ) ( S e e P a g e 2 o f f o r m s p a c k e t ) . t 1 s u r n a me o 1 c o n t r i b u t o r i s t h e s a m e 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 f

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 )

SCHEDULE

A MONETARY

( R e v . 0 6 1 9 7 ) R EC EI P T S

[ ] CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL A T I ON SH I P AMOUNT v I F FOR

R E CE I VED O f a p p l i c a b l e ) TO CANDI DAT E ' RECE I VED FUND-( MM/ DD/ Y R) AND P AC CHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

t 1 l ( t . ~ ' o ~

I D #

CK #

L A +11I A

( 6GS WA( ' A ut y l j o a d - 5 ~ r . $ 2 s - l /wwt =I t s So2

I D #+ k U/ 1 I , , . < W\ j G~ L 4Wt-t;

CK # ( ~d 6; ' I t ° _ r n v ; C4~' I v -b ' D 1 ; RA, -1ASa 1 2 -

- I D#L At q ~A i d " So w

I D # r l d e l t ~ i %AACl r o

l l( L 4 o CK# - L 7 r a - a f ( ~ - - - I

- - 02Swt s o, 3

I D#

P k ~ i l ' 1 AK Se I ~

I I L 4 [ , l CK# " ~ ' fW0 2

Q I

~ CK#

c ~v - a t /

5 7I D # S+a i d e ~ ' V e i -1 5 ( S%A~ j v L 1 ~

1 4 o e Jt /

\ ~S oC K # S ' 1 ,

SaI D #

/ o CK# 3 8 I swB~ 1 - ~ .S. 2s - c~

_ b4 d~Z 1

I D# ~c t . , 4 1 4 t A t A ( VeW6 t aP

CK# oZQlb V) r ~t RO(

I D#t Seoe Chemsy ( YA" r4ov\ t/

SUB- TOTA L S~$


s c h e du l e ) s



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

CONTRI BUT I ONS - - MONEY TAKEN I t( I n c l u d k V c a r b f d e l e ' s p e r s o n a l k x l d s )

COMMI TT EE NAME ( M u s t b e s a m e a s o n S t a t e me n t o f O r g a n i z a t i o n )

Cou nw~~ e e c t eX

SCHEDULE

A MONETARY( R e v 0 6 / 9 7 ) l R E CE I P T S

CHECK T H I S BOX I FA M E ND I N G FORM

S T A T E C AND I D A T E S N O T E : I F A C ON T RI B U T I ON I S R E C E I V E D F R O M A S T A T E P A C ( P O L I T I C A L A C T I O N C OM MI T T E E ) L I S T T H E P AC I D E N T I F I C A T I O NN U M B E R A ND T H E P AC C H E C K N U M B E R I N T H E D E S I GN AT E D C O L U M N A L I S T O F I D N U M B E R S I S A V A I L A B L E F R O M T H E I O WA E T H I C S A ND C A MP A I GND I S C L O S U RE B O A R D

CAU T I ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d 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 m e 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 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 a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s

J > 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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h eR 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 b y

( 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 a m e 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 f _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 ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELA T I ONSH I P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#

L A- 1 J A ! 5 e )

I D#~aNce~a' v I S

t t ~ ~ ( ~ o ICK# ~ a os c o

t~Sw~ ~~ Soi lI D# -

oCK# t - ( 2 . 1c , S . w a . G d - t ~ S S ' n vI

DS, v S ' a 3 2I D#

l a r v I . ae - 0 x. . . ( A e I -

l CK# C> r L / ! S4 - 5 ' 1

s o 0 6 t /

1 -- 7 t o r2

l o #1 1

~ ¢ I n ~ i S ~ ' ~avy ~Ry~~ , o a ( e S

1 l l ~ ' I r o CK# l 1 ` - Fo Vi vi ~et l L~ .2-~

wt x 526

.

I D#t AAa

.

y ! 1 eL A 57 6 L % - A f f e

I t ' l ~ o C K # ZS r /ISo 7 2 -

I D#

iI C ( - j I

CK# ` ~` 9' ? S Soa cS

.~ vo I 7 S - X-- ~t So3 Z I

,

I D#l / [ AAr V I n AI VI K POVAe. Xa - ~f 2.

CK# t - ( 7oO \ J e 1 +oLv t o 1 , ( ` wy *. ?~~

D w' D wt ZI D #

t e a , , ~ - _ - T ' V~ ~e s a f e < <

I t ~ - ~ CK# 3 ' ' 2 1 E WaI v , N+ - * , 2oo QO IS u _ A o o '

I D#L - 7 1 e I¢ p a, n / M i I dR+DH

( 1 ~b l CK# $ I t I o 1 7 t . A i . + l ~ e Ct v e e f - C i Y,Uas c S NV 9 t i ?" SUB- TOTAL ~ ' C , ' U r DO ~-$

TOTAL ( i f l a s t p a g e o f t h i ss c h e d u l e ) $



Fo r I n s t r u c t i on s , Se e Back o f Fo r m

CONTRI BUTI ONS - MONEYTAKENI N

( k i c l u d l 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 TTEE NAME ( Mu s t b e s ame a s o n S t a l e r r i e n t o f Or g a n i z a t i on )

ec - c , e I , - - c I r U vI d - 4 o . i , - - I l ows2

STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A UST OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON: Se 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 a n d s t a t e me nt 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 y c o mme r c i a l p u r p o s e by 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 o mmi t t e es .

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 mmi 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 e

^ , 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 b yi ma g e ) ( Se 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 me 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 o

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 Sc h e du l e A )

P a g e l __2C

SCHEDULE

A MONETARY

( Re v . 0 6 / 9 7 ) RECE I PTS

0 CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR REL A TI ONSHI P AMOUNT ~ ~ I F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECE I VED FUND-( MM/ DD/ YR) AND PA C CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#V~ - o~ O " ~ . SL l o t r o ~ ^ 1 4 o z

$1 t l 20/ 0( CK# ` - ( a - S3 7- - s+e, v, -Dr5 - 01 7 S. K4 b 4 5-0

I D#

L-7 1 t ZRbe - ~We l o S- f - e rSdl l ( 2 . ,

0, CK# Ll 05 - 37 Sf . x. 0 . 3 ,

D Sw1 ~m i l - o I

4 2 o l oI D# TD q , V t ~ G- 1 4 s s

. Soa - o Grad 4v - e ,CK# d

vS wt I T - L 4 So Z

G , I t V c - T -- L 4 So~2 S

C > l 0

I D#

CK#

J v ~ c I A ex e5 r r - c &- , , x-~ - S- E - 2s.

' p~I n n z~ So~12_

( l l ZZ/ ~,

I ° #

CK#

Cf n a r l ~ s ~ ' EI ( e f n Cov- wi ~y~02 L ( I n ; u~rsi +Y #3zs

Sv~n So31 1l D#

Ceci v i a , ~r~o. i '

t ( 2 2- 1 , 1 CK# 39t h e ( 54my - o f q ( , e , [ A

1 ( 2 -2 -

I D#- Y \ - A \ i A G- e - K+ l e K^ ~ r

L f F- 0 r& S` '

CK#t oo,

Si nn " - 1A So~, i 2

t( 2

, ?l o I

I D#

CK#

- T- L°, r v y a FG~ ~ot nSe~

dal ~v i G~ r

~g , Pr

~ i G~ e

LA SoA S

I D#

S So

SUB- TOTAL


s c h ed u l e )



- t r u c t i o ns , See Bac k o f Fo r m

. UTI ONS - MONEYTAKEN1 k

( I n c l u d i n g c a n d i d a l e ' s pem" I f u n d s )

, MMI 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 at i o n )

I Comm4- e, e - 1 , Q(e:+CTruv%d berg 4o 4ke

SCHEDULE

A MONETARY

( Re v . 0 6 / 9 7 )

I

RECEI PTS

CHECK THI S BOX I FAMENDI NG FORM

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 TTEE) , L I S T THEPAC I D E NT I F I C A T I O N

NUMBER 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 FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD .

CAUTI 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 nt 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 an y c o mme r c i a l p u r p o s e b y an y p er s o n o t h e r t h a n s t a t u t o r y p o e t i c a l c o mmi t t e es .

, 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 mmi 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 e

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 b y

a r n a g e ) ( Se 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 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

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 Sc h e du l e A)

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FOR

RECEI VED ( i f a p p l k a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR ) AND PACCHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

t \~ Z~ t &j

I D#Jo r J

. MQa ( A 1 A 6 1 CrN

I DGS g r ewt nc UJood5CK# r . odw W~ ~I f s So2~

2 Zl d, CK#Z~a3 Pa r ( ~ i 4~e . So . r r

_PSV I A, : L4 So 2

I D# ~v , ~ 4 5 ~ n e P e . .~e- rSov~

\ f 2 2 I C I CK#' - ] o1 Lf _ 51 ~ ~ , { SF Oo

I D#L o2 , e 1- SY, .

11122l 0~ CKk 3 ' Z~o j e t v e - - # - oa S 1~r .b4 0 2 ,

I D#rur

l 1 2 ~ " ~ l 0 1 CK# I ~ I 4- ` f 4Qh

1 7. -5 k" T7 l 6 A Sod .

I D#~ l Sa ~a. r -I nwt n

1 2 ~ ( l CK# L f Ov l ~ o l n ~ Lo f

SI M SG t z.I D# v i .

V \ - K 1 , - a u Y~e

~ ~ ZL f l CK# ( 0 4 4 00 WCS -awv~l oo ` ' 'o l

v A So . 1K_ t o,

I D#l l ,~ v ` J c i n f q ~Pdes

CK# C?O - ' o S+e-~

1 ~ stAA SO 12. -

I D#~ - C

, ~ ,av d ~ L' t ~a ( a / 2u~ol el

CK# Lroos v i C - i k e - r - ~d

LAA ' r - K5 e n i

.

l D#Gt naYl eS ~ ' ~I l e t n Lav- so~"

< ` ~ 6 I o1 CK#t " f34 - " " d>Kc t wa t i dQ ~r ~103

! ~. 5 t wl = So3 Z- -

SUB- TOTAL


s c h e du l e )



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

CONTRI BUTI ONS - MONEY TAKEN I N( I n d u d l n g c a n d d a t e ' s p a r a o n a l f i m d a )

COMMI TTEE NAME ( M u s t h e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

CowA t M 4ee - ~ f ( L c - f C? - y ' u l n c ~ 6 e - t ' c , J 1 2 USAf t l i t

S T A T E C AN D I D AT E S NOTE I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E P A C ( P O L I T I C A L A CT I O N C OM MI T T E E) , L I S T T H E P A C I DE NT I F I CA T I O NNUMBER AND T HE P AC C H E C K NUMBER 1 1 4 T H E D E SI G N A T ED C O L U M N A L I S T O F I D N U M B E R S I S A V AI L A B L E FROM T H E I O WA E T HI CS A N D C A MP A I G ND I S C L O S UR E B O A R D

CAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , t 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 m e 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 rf 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 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 .

SUB- TOTAL

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

s c h e d u l e )

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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h e- o m m i l 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 ym a 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 me o f c o n t r i b u t o r I s t h e s a m e 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 ( l o t S c h e d u l e A )

SCHEDULE

A MONETARY

( Re v . 0 6 ( 9 7 ) RECEI PTS

Q/ CHECK THI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FO

RECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

I D#

~ ~ Z

a/ 0,

CK# 17

5v ~ WSa a t o SI D #

MAV ( y _-TLo r " y wa d d &, ,1 , l (~

S ' / C 'CK# 3 4 o ( S. W r.

D#

ZI ~ So2I D I I

r - 7a v , . < < f 9 R e - - Y 1 i 1 ~ i Se

CK# L 1 3 o l ~ d ~ r s g l u e .

ps z b a SoI D #

~yl A ~ ~L A ~ ~Cf - Nel son

I t I ~ ` ~ ~ c 7 CK# l ao S. ( - 1 1 1 . x 4 - 5 f - d d\ . A J 1 1 ) VI A So ~ aI D #

DI n I n

I O # ' Tp ~ A , , f F O / v a r i k v ( i t Ma~

\ l ~b I o ~ CK# ~ - 1 ~~ l e t ^ wo o d J a m V '0 C)

S ~ ' ~ 1 So 3 2

\ , ~ n

I D #Sw ' 4e 1 \ e o , ~A~

~+ e -

36 ( , ~ Gt o - Av ~ I ~ v e . # : ? c ( t /01 CK# ,

5 ' w" ; ` ~ So. ~ l aI D# _

~4CK# ( p ~q~~s _ : L \ A

I D# W\

CK# : ~ I ) - (. +C. '' D5 w( =~0 3 0



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

CONTRI BUTI ONS - MONEY TAKEN I t .( I n d u c i n g c e n r i l d a t a ' s p e r s o n a l f u n d s )

NAME ( M u s t b e same a s a n S t a t e me n t o f O r g a n i z a t i o n )

L " L % . - , ; 4Tee -4e k e e 4 G V ' l - l I , ,j ~~ 4- l 4 e

STATE CAND I DA TES NOTE: I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E P A C ( P O L I T I C A L A C T I O N C OMMI T T E E ) , L I S T T H E P A C I D EN T I F I C A T I O NNUMBER A N D T H E P A C C H E C K NUMBER I N T H E D E S I GN A T E D C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E FROMT H E I O WA E T H I C S A N D C A M PA I GND I S C L O S UR E BOARD

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) I o w a 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 a n d s t a t e m e 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 rf 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 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


s c h e d u l e )D 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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h e

~ o m m r 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 ym a 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 me o f c o n t r i b u t o r I s t h e s a m 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 mn

SUB- TOTAL

P a g e ' f _ _ , _ o f _20( f o r S c h e d u l e A I

SCHEDULE

A MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS

CHECK THI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT ~ ' I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED F UND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

I D# Ko e t i 1

L&W .S' ' 14v + e~ (

$l Z of CK# ( Sb2 ZS v

JDS V - - , T ( A So3/ 22

I D#I '. - e o h I LA VAvi m&1 -

t

~ Zl ( CK# 3 - i o t - f 1 4 ' , a l - 4 e t i t w- e ~ k t oo r/

la

~

-Dwl 1 . 4 5 e ) S

1 2 j ~ l GlI D #

CK#

_

~ - pCCtv ' f o v , Y I d e v i a - l - Bt r

4 t t ~ - S . w . a St SO .L : > 511" W S Z o

l II D #

CK#1 ,4N

Gl9 /- ? ° I ~~ s ' fsI S _ 2 7 - , - A S ' a Z

I D #,

b i t e 1 1 me_

~ - r 3 l o l CK# 7 1 1 3 , Se l - - + " e V , . A I - } ; 1 1 s I 7 ~ ZS-1/

DSl wt z1 A So3 Z -

I D #a r b Q~A s F 1: 7 0L - 1 H r / i I C

~Z2-

1~~1C~1

CKq

~o ( f 7SLwt -- rI D # q

I ' 2 J l 3I o l CK# 366 Gv ~a ~ . o ( - > r e . - ~®g

I z ~ 'a 1

I D # ~ L

- 7 L - r °3 oak v N°s . T Dv - ,CK# 00.s a ~ a s o - ~ F~ ~ys l

1' l ~ t f / C ) l

I D #

CK#

'~ a ~ P h ~e CY\ e~

1 L ( l . - / I D wf s ' ~ , - tl e e t Sa / O b

s V L n So3o

I D # Saver ~ oc ~ e ( l e f ' V G t ~ 1_e~y

I 2 I s n ~ CK#1 -1 ) e5 l ~



Fo r I n s t r - i c t ) r n s , Se e Back ( _ Fu i . . )

CONTRI BUTI ONS - MONEYTAKENI r e

( I n du dn 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 TTEE NAME ( Mu s t b e s ame a s on St a t e me n t o 1 Or g a n i z a t i o n )

e l e 6V ' L l w. S2

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM. A STATE PAC ( P OL I T I C A L ACTI ONCOMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.

CAUTI 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 fi 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 men 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 rf o r a ny c ommer c i a l p ur p os e by 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 b t i c a l c o mmi t t e es .

SUB- TOTAL

TOTAL ( i f l a s t page o1 t h i s

s c h e d ul e )

SCHEDULE

A MONETARY

( Re v . 0 6 / 9 7 ) I RECE I PTS

[ ] CHECK THI S BOX I F

AMENDI NG FORM

D , 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 m m 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 e

- o mmd t e e . R e l a t i o n s h i p mu s t b e s how n t o t h e t h u 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 y

, n a r r r a g e ) ( S e e Pa ge 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 am e a s c a n d i d a t e , b u t t h e r e i s n o Pa g e _ _ L _ ~ _ . o f _f 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 NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECE I VED FUND-( MM/ DD/ Y R) AND PACCHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

I D#o w~ a , S' ( n r r S- ~ "

1 2 - l ( s / p ) CK# 3 DSO L t ^ c o I v t ( ~ / a c e w.

I D #~ p l na ` ~ ~I r c t °

1 2 - O(CK# ( - I r 713 P' a

Se r ^ 1 7 I r .

/ Ds V ' A' T s o l o

I D # 0 0^13 SowA V l AE ' Ol i Cq t

1 2 S o ~ CK# o I i s f ^ a h . o( s e ~5© r /

s

C' 3

asI D #

( ! f I d v - t - O f L a ur a c r Na l . > S u ~ r ' f 1 . .

Z' ( S p ( CK# ( - f So ' ) 6 i , - ' 2 " d V1 > 5t t ' A X7 6 " , S~l z

I D #g o 6 + 4 G1 o I r f Gi ( ~ LAr Ne4

CK# ) - TL 4a S i b ( , A) c C_j . O

S v A - 3 -- k A So~~I

I D #' Der i S

CK#0

L t - A, , 0

S-

3

L f 4 - c"

S

.D5 V , - A SASo 1?12

I D#

C' aVO I ~f I r e LeU~~e

I Zl l ~~p l

CK# F r Si out cGf .2

s V- 1 . . ~ 1A57 0 . ~Z1

I ZI ~~f

I D#

CK#

5 ( ', Sav~E' s Ca( Ve r r ~

Z l i t r e ; Ve, . ;+y

l oao,

s So

I D#T. w o ( 4 e 1 1 e i ^ He p p ( e u , ( Ar J e

s w~ ~b 4 Sod

I D#PC>b e i 6~ . C l V I A ( 6

t Z' ~8 ' OI CK#ZSbO ~f ~l a v ~c l a ( Cev t EeY '

.(

' Pwv~~U9 Sp30~



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

CONTRI BUTI ONS - MONEYTAKENi . .

( I n c t u d l n g c a n d l d e t e ' s p e r s o r n l t u r f s )

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

COt NMM f 4 4eGTp eGf61 ^ Nwl +t " US~

STATE CANDI DATES NOTE: I F ACONTRI BUT I ON I S RECEI VED FROMASTATEPAC ( POUT I C AL ACTI ON COMMI TTEE) . L I S T THE PACI DENT I F I CATI ON

NUMBERANDTHE PACCHECKNUMBER I N THE DESI GNATEDCOLUMN . A L I S T OF I D NUMBI RS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GN

DI SCLOSURE BOARD.

CAUTI ON:Se c t i o n 68B. 3 2 A( 6 )

.

I o waCod e, p r oh i b i t s

t h e u s e o fi n f o r ma t i o n c op i e d f r om r e p or t s and s t a t e me nt s f o r s o l i c i t i n g

c on t r i bu t i on s o rf o r any c omme r c i a l p u r p o s e b y any 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, s c l o s ur e l a w r e q u i r e s c a nd i d at e c o mmi t t e es 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 e

' o mmi l t e e R e l a t i o n s h i p mu s t b e s h ow n t o t h e t h i r d d e g r e e o f c o ns a ng u i n i t y ( b l o od 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 y

- n a r r r a g e ) ( S ee P a g e 2 o f f o r ms p a c ke t ) . I f su r name 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 nd 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 nt e r ' n ot a p p l i c a bl 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

SCHEDULEI v

A

( Rev . 0 6 / 9 7 )


s c h e du l e )

MONETARY

RECEI PTS

[ ] CHECK THI S BOX I F

AMENDI NGFORM

P a g e 1 _I _ . o f

-

-2o

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

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI I I UTOR REL ATI ONSHI P AMOUNT J I F FORECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

1 2 - 1 1 1 1 " ,I D#

CK#

I D ~ t ° _ ~ e s r GV1 a 1 1 4 NN 6A I - d r n e`

L ( 3

I ` - , V

a - ~ ( -~s ¢ . p ( Sam.

1 7 ! S - 1M z ( , , A So2d, S

,

I D# 0p- 1-7 D, re Pi v ` } G

~ Z/

1 ' 9/0

lCK# ~~~ br c r t i ~ t ~ ~ e . ' ~ I ~ o7 Zs ~ r r

1 ~ 5 V t n I . ~ So 3 0- 9_

I D # / 4 I I ` G ' e ` r l n ow~ I ASo h

CK# L 4 s I - G~ - Q v , d Z' D s v , , A T- ( A So3 ( Z

I D #r % r i S+i rne VAo I n b o C- c - ~ c

CK# ( D - 1 S ( - { c { - woo d Dt r 2 S r r. , ~ S o 3 1 Z

i 2 l ~ ~ t / o )

I D#

CK#

t P r ~de~«Lea c G, 4 K

2)0 6I -CLAV~teI

12). 5 ' M -X7 WS ' o 31Z

I ZI I q' eI

I D#12

CK#

mowa pea IN.W.I 1 L - f +L , 5 f - # t o OO(31o ,

C r Ve = 5o~2S

. 2 ~ I

I D# ' I~ow~e ou r I derS , ~ ~-~

2-on° lla CK#~

I Z~Z~

I D#

CK#

are

~ - 7 oo l e ; w- P~ - ©a - s b~ . 2S- 1 io f

L 7 sL~ so3i ~.

I D#o . d J + I Mary (y-re~e

I ZI ZI I o( CK#

5 0 2.

I Zl 2l l ol

I D#SS f dkey gor6t r a

351

&-adl ey

I n / l u s~eJ -ecCK#

i > St n s So 12



F o r I n s t r u c , o n - , S e e B a c k o f F o r t h

C ON T R I B U T I ON S - MONEY TAKEN 1 1 .( I n c l u d i n g c a . d d a N ' 8 p e r s o n a l h i n d s )

C OMM I T T E E NAME ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )

Co mr , , ' - f e e - - b e ~ e c f Gr r u t ^ e t L. ) s + ' ~ 4 - o

S UB - T OT A L

T O T A L ( i f l a s t p a g e o f t h i s

Q C H E C K T H I S B OX I FA ME ND I N G F O R M

S C H E D U L EA

( R e v 0 6 / 9 7 )MON E T A R Y

R E C E I P T S

S T A T E C A N D I D A T E S N O T E I F A C O N T R I B U T I O N I S R E C E I V E D F R O M A S T A T E P A C ( P O L I T I C A L A C T I O N C O M M I T T E E ) L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C I 4 E C K N U M B E R I N T H E D E S I G N A T E D C O L U M N A L I S T O F I D N U M B E R S I S A V A I L A B L E F R O M T H E I O W A E T H I C S A N D C A M P A I G ND I S C L O S U R E BOARD

C A UT I ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d 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 m e 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 rf o r a n y c o m m e 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 o m m i t t e e s

s c h e d u l e ) 3 a , ® 1 7 .D 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 m m 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 m a k i n g a c o n t r i b u t i o n t o t h e

c 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 I c t h e t h u 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 ym a 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 a m e 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 f d

f 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 ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L A T I ONSHI P AMOUNT J I F FORECE I VED ( i f a p p l i c a b l e ) TO CANDI DAT E ' RECE I VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE

NUMBER I NCOM

I D# > ~ I A A , e 1 . n a G ( ~9 e o r 5 / a Sor bs

l L ~Z r ~ t 7 1 CK # 3 10 - ( JGr dQK 6 r i - o ewj ~ wt , X~A S7 6 2 - 6 S 'I D # Dee - De e S ' f - e e

I ( 2 t l o t CK # s ) °6 ' J et' D St t i ~ x - I ' l 5 -0 . ? 1 2 -

I D # ~TGf f n - , e - S ' f G 4 ( l ; s o Fnew r v - 9r CK # Zs- S~ ~~ s ~

2Sp s v w l zL a s o 3 l Z .I D #

] _6

( o l a ~Gr o c , ~ . o t2 . . / Z I l d ) CK # ~0 1 4 v e ~ . ~ 1 o l .

So3o

1Z~Z r l ol

I D #

CK #

~ - ~a t ~ sC

y o o o ©a t e P74 ) r d - s f

_D 5 t n ~ Z7 t e n ,, S" o ? 1 2I D # 7 Z A d y f a t . , k

( c K# 2 1 5

Sw 3 So31z Zs.L~

I D #Ww . 4 Cy~ de Fa ~+w .

t Z 1 2 1 / G 1 c K# t - 1 / a s w. zK 4 - t - S2-9

~~ ~~ so z l

I Z I 2 ( ' a )

I D #G f v ~ n e S JV d f - ~a ~ ~ < < . ~

z ( 9 ' 5 rCK #w v v t =L A So 2 _ t o S

1 zl z ) o l

I D #

CK #

' ~ s t r i o d g o s ' s 'c e PC, , k R- 4 : 4 ?2 8

/00I WDMA T i l 4 So 2 - ( , S

1 2 , 12 1 / 1 9

I D #Cr U ( v e SPA

8 2 - 0 ` T i + I t ° i S. { - G r r V-

CK #G-0( , a s t l e NV - z s ~ i t l ^ ]



I S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :

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 $ 5 0 0 o r mo r e m u s t a l s o b e i n v e n t o r i e d o n S c h ed u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )

t o p e r s o n s / e n t i t i e s p r o v i d i n g c 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 , 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 mu s t a l s o b e d e t a i l i t e m i z e d o nc h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e ma d e b y t h e p e r s o n / e n t i 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 o

c 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 Co d e 5 6 . 6 ( 3 ) ( i ) . )

P a g e . _ _j _ _ _ _ _ o f _ _ _ _

( f o r S c he d u l e B )

FOR I NSTRUCT I ONS, SEE BACKOF FOl SCHEDULE

EXPENDI TURESB MONETARY

- MONEY SPENT FROM COMMI TT EE ACCOUNT( Re v . 0 9 1 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR LEGI SLATI VE

CANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE O CHECKTHI S BOX I FPAC CHECK NUMBER FOR EACHEXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .

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

i 4 , & e - 1 a c ? ( e c 4 - <~~ u " d I e, - ,D 4 . f ' I - , Q - 1 - o uS . p -CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDEDEXPENDED ( o f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE

( MMI DD / YR) AND PAC

CHECK

NUMBER

I N~Y' , S~Z t r ~Q~~ Fees

1130101 CK# P. O t 3 0>c q 906

O

C~ e o ( ~ - i r , . ~ c t c c ou ~ ( -

T ~ ) 5 ( n . t , T~ l h 5 7 0 3 x 9 ' - ( o Z( oS2,n8f

I NF' j r S~A~ l ~aH( G

CK#~Sa~ a s ~ ~ o eC

I D#

CK# wk1 2 a . S Loove~

Ca l o C) t I e

I N~G1A

CK#C

COQ t . ~ . ~ e a. S Qha v~ 2. oO

` I N~~f r s , l. ~at ~~

- 1 1 a 7o I CK# C 56 w " - - Qs ~~o , , e 2 ©o

I N

CK# same a a ( ~ o~~~ 2 ooCa

.

I N

I CK#G '

~

t o Ov- e

I N~~r S+ar P~Qt A ( c

CK#~ SgM e o f S at oe) 2o©n

C c ~ ovG

SUB- TOTAL $2 - 1 . 9o

TOTAL ( I f l a s t page o f t h i s s c h e d u l e ) $



FOR I NSTRUCTI ONS, SEE BACKOF FOf

EXPENDI TURES - MONEY SPENT FROM COMMI TT EE ACCOUNT

STATE PAC COMMI TTEES : NOTE: FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPEND I TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETHI CS 3 CAMPA I GN DI SCLOSURE BOARD.

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

V 1 4 e ,

1 2514 1 1

I N

CK#

I N

CK#

I N

CK#

I D #

CK#

I N

CK#

S ' .

' D S t t i t , 1 ~ 1

L A . S , Pos - O' ~1ce

7 DSNA f

S. P o s f - D- ~~i se

Sec re' ~t vy o ~ 5 ' E- ~~- e

S- f - a - E - C c a f~ewo f

DsV PtNl ~Zi . Ar ~ " 9 5 o ? t

SENSACTI ON)

e r6 e (S

~o v -) ~ o00

f - Ca r d ' s ,

Per t n ~ i ' f t

` - f - ~ - o t l s o - F

5 ' T " l ~ fw. ~ S ' - t a r ~a ~ t C 1 ~

V~~r e5~s~~ . ~ i o ~

1 ~ s - Fs ( 4f ae_(S

TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) $

AMOUNTEXPENDED

$ - 7S. - 7 1~

Z~8. 00

SUB- TOTAL' $ l rg2s-S' 3

I S BOX AP PL I E S TO CANDI DATES' COMMI TT EES ONLY :

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 $5 0 0 o r mo r e mus t a l s o b e i n v e n t o r i e d o n S c h e d u l e H ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )

x p e n d i t u r e s t o p e r s o n s l e n t i t i e s p r o v i d i n g c 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 , 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 mus t a l s o b e d e t a i l i t e m i z e d o nc h e d u l e G b y t h e amoun t . p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o N e n t l t y o n b e h a f 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 o

c 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 Co d e 56 . 6 ( 3 ) ( i ) . )

( f o r Sc h e d u l e B)

SCHEDULE

B MONET ARY

( Re v . 0 9 1 9 7 ) EXPENDI TURES

O CHECK THI S BOX I FAMENDI NG FORM

K-~~u ~-~ec 4, Rt c - r _-

t ~rurn~he. - ~4a 2

CAND I DATEDATE I D NUMBER

EXPENDED ( i f a p p l i c a b l e )( MMI DD / YR ) AND PAC

CHECK

NUMBER

NAME AND ADDRESS TO WHOMEXPEND I TURE

( D i s b u r s e m e n t ) WAS MADE

PURP( D ESCRI B E TR

I N E7Xp l ~sS ~v i v A - ( - I p r i ^ - ( f - ~ 5 1 o

CK#2 - 7o F ~e r So l ~ e a " d S , ~

" I ~ St n ~~ ~ I A So~ 1 Z

I N

~ j 1910 . CK#Z 4 - I =os ~e ~ ' ~~ C ~ f v l d ~ d a - E - e -

- D S V L 4 1 ' ~ t q S7 6 3 f 2 S - F ~ c w ~ p , ed p o s

I N Po S + t n n a 5 ' C- e - t o m U ~ ~ l N ~ a t r ~

1 0 1 CK# D5Wk Po S - f - e > ~ C1 ' Ce' b i g t M zW



I S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :

u r c h a s 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 S5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n Sc h e d u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )

x p e n d i t u r e s t o p e r s o n s l e n t l f i e s p r o v i d i n g c o n s u l t i n g , a d v e f i i s l n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i : l n g s e r v i c e s mu s t a l s e b e d e t a i l Re mi n d o nc h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e m a d e b y t h e p e r s o n / e n t i t y o n b e h a f 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 o

c 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 Co d e 5 6 . 6 ( 3 ) ( i ) . )

P a g e?__ o f 3

FOR I NSTRUCTI ONS, SEE BACK OF FOf SCHEDULE

EXPENDI TURESB MONETARY

- MONEY SPENT FROM COMMI TT EE ACCOUNT( Re v .

0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VEOCHECK T HI SCANDI DATES, L I S T THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THE BOX I F

PAC CHECK NUMBER FOREACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS b CAMPAI GN D I SCLOSURE BOARD .

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

t ~ f DwHnf4ee 4 D e ( eG+ ~r t 4 v - , ber ~ p 1 4 - 0 L t Se .

CANDI DATE 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 b u r s e me n t ) WAS MADE

( MMMD/ YR) AND PAC

CHECK

NUMBER

I D#i 3t f 2

Z

~

1 3 7 P- o

~~ o~

n9~e f ~ hur Se f~ a ~ - a f ; d a - F c

~c ~ - SuP I r PS 7

~ 6 / , , CK# &V $ Z~S 7 ~ o5V I AS12 - - a ca t r ~ r ;

I N, e t n v e ( o p eS, ' ~

-c f !

I NI . ( . s . 6e+ Cf~ACy - - / a - r o l l s e 5

1 2 - /%/0 1 CK#

' ~" ' a"~S(MT_ 1 S S

IN

CK#

` IN

CK#

I N

CK#

I N

CK#

I N

CK#

SUB- TOTAL $5-75: 34

TOTAL ( I f l a s t page o f t h i s s c h e d u l e )$1, 922 . " 1 . 9

Grundberg Betty716scanned

Documents

Transcript of Grundberg Betty716scanned

Grundberg Betty__716__scanned

Documents

Transcript of Grundberg Betty__716__scanned

Grundberg Betty716scanned

Transcript of Grundberg Betty716scanned