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FOR I NSTRUCTI ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )5 e_ x f r o 4 r t i c r wf eI MPORTANT : I n d i c a t e b y # 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 :Q( 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 e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l Co mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r Ot h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s u e

CANDI DATE COMMI TTEES ONLY :Ca nd i d a t e Name

I I n

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O f f i c e Sou gh t

SI GNATURE OF PERSON F I L I NG R

R e s e t F a r m

I AM F I L I NG A / 0 ' 2 B ` - 0 Y ( F r e d 4 s 6 { c , t a 1f t ~~ REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- E LECT I ON YEAR .( r e p o r t d a t e ) I n d i c a t e b y #

[ ] CHECK I F AMENDMENT TO REPORT DATEDEl 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 nd 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 or m DR- 3 .( Y ou 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 DR- 3 i s f i l e d . )

STATEMENT OF CASH ON HANDCASH 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 o t a l o f a l l f u nd s h e l d b y t h ec ommi t t e e . T h i s amoun t MUST b e t h e s a m e a s t h e c a s h on h a nd a t t h e e ndo 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 mu s t b e z er 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2DI SCLOSURE( Re v . 0 7 / 2 0 0 4) REPORT

F o r O f f i c eComm . #L o g g e d I nScannedCo mp u t e rA u d i t e d

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i m i n a lp e n a l t i e s .

/ 0 - Z 8 - a yDATE SI GNED

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 nC o u n t y & 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

1 y ~ 3a 3 - S3ADD TOTAL MONEY TAKEN I N THI S PERI OD

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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 - - MONEY TAKEN 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 TTEENAME ( Mu s t b e s a me a s on S t a t eme n t o f O r g a n i z a t i o n )

R e t : d Fv t m

STATE CAND I DATES NOTE : I F A CONTR I BUT I ON I S RECE I VED FROM A S T AT E PA C ( P O L I T I C AL ACT I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ONNUMBER AND THE P AC 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 BOARDCAU T 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 rf 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 mmi t t e e s .

SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I P T S

CHECK T HI S B OX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I B U TOR REL A T I ONSH I P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) T O CANDI DATE ' 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 ERNUMBER I NCOME

CK# 0A. I h , V ~ - ,0 . ' R , A) ~b . 00I D# hl i r5l f e~ L I V A /. 1 - 1 2- , o ~ , ~ l e~K~ r r 4 r ev q Q CK#( ~ a 7 $ De s / ( o u r e a, -A , t e a , oI D# ~ e b b ~ e P , i ~ ~ a ~

CK# ( 0 l 9 ZD ~ ' ~ h T r i o s LI D# a e n n l e t i e I l e rCK# Y~ ~o / D

D d . . 4 1 A1 D# `s h t . . S e t , n t 7 e r ,CK# 7 0' ) Pi n e3 9 3 e A w l S.. Op' i I D# SRI AN GkUJEA lCK# 4 0g . 7 sl sT sr - r 1 , - 12Z D e 466 r A p i 14 SD, od1D# / h t I ~ELE ST/ 4- XKEN3WZ C -

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Fo r I n s t r u c t i o ns , SeeBack o f Fo r mCONTRI BUTI ONS- - MONEYTAKENI 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 TTEENAME( Mu s t be 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)

Rese t : F t

STATECANDI 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 THEPAC I DENTI FI CATI ONNUMBER AND THEPACCHECK NUMBER I N THEDESI GNATEDCOLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 68B. 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 or 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 rf o r an y c omme 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 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 es .

SCHEDULEA MONETARY( Re v 0 7 / 0 3 ) RECEI PTS0CHECK THI S BOX I FAMENDI NG FORM

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

I D# Wk P - t 2 Ed VXY l e y) 3 9 o R I ~ e t ~ d e s E J t .U1. 2 5 - 1 6 4 cK# 40$ ST t u Aa t . T v 0I D# ,1 r - 2 C_ y l N l o e t l , u -Gt r I 2 4 ~1VE l GE E : 11 2 6 1 0 4 CK# ~" 1 $1 I Coun0 0 00i _ I D# vma-s Wu_ be lCK# ass E . M4 t J a l r f 6 - '' / I D#

~' 70ZY~ l a .GkG~. . . r d v , u ~lo

CK#- . 4 l k X- W . , . )_I D# L I NDA- f l o a k j - - . 1 s

CK# / I l a E93 A- 16 ) , , - ._r N . 4 - 5 0 0 0

3 e . r n o S a 9 a u -C K # 5 0 l S .s o ~' ' J l. ~ a ' o 0 0y r I D# _7-dM Narak

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t Vt t l NJ I KU(;I I C J NS , SEE BACK OFFORM ~~F*' == SCHEDULEEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEEACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE ORCANDI DATES, LEGI SLAT I VEL I S T THE CAND I DATE I D E NT I F I C A T I ON NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK THI S BOX I FPA C CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVA I LABLE FROME T HI C S THE I OWA& CAMPAI GN DI SCLOSURE BOARD . AMENDI NG FORMCOMMI TTEE NAME ( Mu 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 )s e. X+r o 4 - SCs . C .. 4 e

CAND I DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATEEXPENDED I D NUMBER( i f a p p l i c a b l e ) EXPENDI TURE( Di s b u r s e me n t ) WAS MADE ( DE SCRI B E TRANSACTI ON) EXPENDED( MM/ DD/ YR) AND PACCHECKNUMBER

I D# Os l Ca i r r a o i q t k r 4L d1 a 9 / s) 0 - 1f - 0q CK# P . o . &, x S30 . 0 - 0~ L F f o s I c u , l o o 6 ,0: A- SZ5 7 7 8co

I D# Ab e t - S ( %a r o r " Nt ( 4 Py W- D) %3 p 4 q ii 0 - ~~ CK# NcW b l a " o~ , z~ 8 1 CFO( Z 4

I D# AA t r & ' o l1 WL4 h ' E4 ws ~i S~l 4y1 j g CK# 130 1

C 0~ ~ ' ~ ' F C I ~ "Pf l q BOX /S~ 2l a o04 , % f v ) d tI D# / wo n r o t A4t r r a r , . ' F n + c - j 4da L f CK# MOyaY- 4 Dt sPI t 7 ' '/ a - 1 8 13 1 5 0( 7 0 1Z2 .I D# To" Cr i e r ZKt .CK# 6 / 0 F a s f S' r ~ ~ yx l l f l ' d l 981 3 Z L p a 1l 4, z ow4 S' oL1fI D# KTSS Kad . I `y j ( o g i a 541k - ~ 3 0/ a - Z L- c CK# j j q a Hut + " t v ~, ~ f 2 . S n 1 gGs

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FOR I NSTRUCT I ONS, SEEBACKOF FORM SCHEDUL EEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TT EE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPEND I TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TOSTATEWI DE OR L EGI S LAT I VECANDI DATES, L I S T THE CAND I DATE I D ENT I F I CATI ON NUMBER I N THE DES I GNATED COLUMN AND THE 0 CHECK T HI S BOX I FP AC CHECK NUMBER FOR EACH EXPEND I TURE . A L I S T OF I D NUMBERS I S AVA I LAB LE FROMTHE I OWA AMENDI NGFORMETHI CS 8 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 an i z a t i o n )

Se . y c f , - o - ~ D- r S e ha 7f e _CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( D ES CRI B E TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D# T t f w4 L ) mo c r a f c r -~' i Hf~ C( L Y1 - ~ n t ~ h 1 1 1 4 h C . ~EF-$ ( o ( o l 1 ~ 1 t u r

l o ~ z t / o y CK# 1 3 , 7 l ~ e S ) L t c i n e 5~ . T 1 4 $ 0 3 1 1 L l a dI D#CK#I D#CK#I D#CK#1 D#CK#D#

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FORI NSTRUCTI ONS, SEEBACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

R e s e t F o m

SCHEDULEE

I N K I ND( Re v . 0 6 1 9 7 ) 1 CONTRI BUTI ONS

CHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED( MMI DDI YR) NAME ANDADDRESSOF CONTRI BUTOR

RELATI ONSHI PTOCANDI DATE

` ( i f a p p l i c a b l e )DESCRI PTI ON

OF I N K I NDCONTRI BUTI ON

ESTI MATEDFAI R MARKET

VALUE~ I F FOR

FUND- RAI SERCONTRI BUTI ON

T- t t Y1 + ~ i - s V ` "~- ~ 191 P > ' \ 0we ~~ 1 t

' ~ haLot - ,N~ c , q - I 1 ~ D ~ ~ y ( >C~ ~ ~RAa ; o i d s ~~0

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FOR I NSTRUCT I ONS, SEE BACK OF FORMCOMMI TT EE NAME( Mus t b e s ame 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 )

r u ' NNOTE : T h i s s c h e d u l e r e p o r t s mone y l o a n e d t o t h e c o mm i t t e e w h i c h i s d e p o s i t e d i n t h e c o mm i t t e e a c c o u n t .TOTAL UNPAI D LOANS FROM LAST REPORTI NG PERI OD $PART I - MONET ARY LOANS RECEI VED T HI S REPORTI NG PERI OD

( O r i g i n a l s o u r c e o f l o a n , s u c h a s a b a n k , m u s t b e s h o w n i f a t h i r d p a r t y i si n v o l v e d . I n c l u d e l o a n s f r o m c a n d i d a t e ' s p e r s o n a l f u n d s . )

TOTAL ( P A RT / )

* 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 ema k i n g a c o n t r i b u t i o n t o t h e c o mm i t t e e . Re 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 fc 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 ma r r i a g e ) . I f s u r n a me o f c o n t r i b u t o r i st 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 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 er e l a t i o n s h i p c o l u m n w h e n i t a p p l i e s .

PART I I - MONET ARY LOAN REPAYMENTS MADE T HI S REPORTI NG PERI OD( L o a n s f o r g i v e n m u s t b e r e p o r t e d o n S c h e d u l e E - - I n - k i n d C o n t r i b u t i o n s . )

P a g e o f( f o r S c h e d u l e F )

SCHEDULEF LOANS( R e v . 0 7 / 0 3 ) RECEI VED& REPAI DCHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED( MM/ D D / Y R )NAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name , I f A pp l i c a b l e ) RELAT I ONSHI PTO CAND I DATE( I f A p p l i c a b l e * )

AMOUNTOF LOAN

$

DATE P AI D( MM/ D D/ Y R) NAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name , I f A p p l i c a b l e ) RELAT I ONSHI PT O CANDI DATE*( I f A p p l i c a b l e )AMOUNTREPAI D

TOTAL CASH REPAYMENTS ( PART l l ) $F r o m S c h e d u l e E - - TOTAL LOANS FORGI VEN $

TOTAL OUTSTAND I NG LOANS END OF REPORT PERI OD $