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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 :( 7 ) S t a t e w i d e i L e g i s l a t 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 ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( o ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y i 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 sCANDI DATE COMMI TTEES ONLY:Ca nd i d a t e Name

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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 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 db y t h e c o mmi t t e e . T h i s amou n t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n d

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3/44

FOR I NSTRUCTI ONS . SEESAr " ' OF FOR&I

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4/44

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FOR I NSTRUCTI ONS, SEERACKOF =ORMD( SDLGSVi k E S k , . . J I MARY PAGE

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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 :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t l s s u e i F r a n c h i s e C o mm i t t e e ( 7 ) C o u n WC 1 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 l a t e o f C a n d i d a t e sCANDI DATE COMMI TTEES ONLY :Cand i a t e Name

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6/44

Fo r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKE) . 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 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 )

/ Vc EL SE - F o 9 A - t t D1 7 _ a~ COMMt TTLe -STATE CAND I 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 P AC I D ENT I F I CAT I ONNUMBER AND THE P AC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 6 8B . 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 ed f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e by an 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 .

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7/44

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

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8/44

Fo r I n s t r u c t i o n s , See Back o f Fo r mCONTRI BUTI ONS - - MONEY TAKE . IN

( 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 ame as o n S t a t eme n t o f O r g a n i z a t i o n )

J U ) L L S ( c ' J - - Z ) 2 A- " 0 r 1 -09 C6MN+ 1 7ME i _ _STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( POL I T I CAL ACT I ON COMMI TTEE) , L I ST THEPAC I D ENT I F I CAT I ONNUMBER AND THEPAC CHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Sec t i on 6 8B . 3 2A( 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 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 omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e es .

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9/44

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13/44

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 mCONTRI BUTI ONS - - MONEY T AKE i v 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 TT EE NAME ( Mu s t b e same a s on St a t eme n t o f O r g a n i z a t i o n )

A 4 , / G Ls I n J r z s 2 Ai t 4 t y - o p -STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON CCMMI TT E= ; , L I S T THE PAC I DENTI F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE 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 op 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 rf o r an 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 an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

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NUMBER I NCOME


14/44

F o r I n s t r u c t i o n s , Se e Ba c k o f Fo r mCONTRI BUTI ONS - MONEYTAKEw 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 TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)

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NUMBER

NAME AND ADDRESS OF CONTRI BUTOR

RELAT I O NSHI PTO CANDI DATE '( i f a p p l i c a b l e )

SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) 1

RECEI P T SQCHECK T HI S EOX I FAMENDI NG FORM

" + I F FORFUND-RAI SERI NCOME


15/44

F o r I n s t r u c t i o ns , See Back o f Fo r mCONTRI BUTI ONS - MONEYTAKE: . 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 be 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 )N t L5r , 1 F&2 A- aD t r &R- CzAAA i t

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I ST THE PAC I D ENT I F I CA T I O NNUMBER ANDTHE PAC CHECX NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABL E FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Sec 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 ed f r o m r e p o r t s a n d s t a t emen t s f o r s o l i c i t i n g c c n mbu 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 by a ny p er 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 .

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SCHEDULEA

( Re v . 0 6 / 9 7 )MONETARYRECEPTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS 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-( MM/ DD/ YR) ANDPAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME


16/44

Fo r I n s r r u c t i o n s , Se e B a c k o f F o r mCONTRI BUTI ONS - MONEYT AKE . IN

( 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 TT EE NAME ( Mu s t be s a me a s o n St a t e me n t o f Or g a ni z at i o n)

S CHEDUL EA MONETARY( Re v . 0 6 / 9 7 ) 1 RECE I PTS

QCHECK T HI S BOX I FAMENDI NG F ORM

STATE CANDI DATES NOTE: I F A CONTRI BUT I ON I S RECEI VED F R OM A STATE PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , US T THE PAC I DENTI F I CATI ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN. A US T OF I D NUMBERS I S AVAI L A BLE FROM THE I OWA ETH I CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 68 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 ma t i o n c o p i ed f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mmer c i a l p u r p o s e by an y p er 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 .

PAC I D NUMBER

NAME AND ADDRESS OF CONTRI BUTOR( i f a p p l i c a b l e )

AND PAC CHECKNUMBER

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

v I F FORFUND-R AI S ERI NCOME


17/44

F o r I n s t r u c t i o n s , Se e B a c k o f FonnCONTRI BUTI ONS - MONEY TAKBsv 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 TT EE 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 )

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VEDFROM A STATEPAC ( POL I T I CAL ACTI ON COMMI TTEE ) , L I ST THE PAC I DENT I F I CAT I ONNUMBER ANDTHE PAC CHECKNUMBER I N THEDESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVA I L A B L E FROMTHE 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 Cod e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf 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 an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

7- ) S- a )

CK#I D#CK#

t 2- -l - I

S j ' -

J

, -

SCHEDULEA( Re v . 0 6 / 9 7 )

MONETARYRECEI PTS

[ ] CHECK T HI S BOX I FAMENDI NG FORM

- 7- i76 , 1

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I I D#CK#iI D#CK#

I9~ _h0 - 4 C_ ; l d9~+s

1 `b t RWL ( - + c . - S+C2 , a & , F. "aS _ S~ - 0 6 _, . J . . .a. v O - / 3I D# l c o f - ]- 7- 1 7- 6 1 CK# 3 2 3 3 4 i s 6 -KS f i

1 7sUVr1 3I D#

_~ - ) 7- Of CK#Ou

DATE PAC I D NUMBER NAME ANDADDRESS 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-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOME


18/44

Fo r I n s t r u c t i o ns , See Back o f Fo r mCONTRI BUT I ONS - MONEY T A KE i v 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 TTEE NAME ( Mu s t b e same a s o n S t a t eme n t o f O r g a n i z a t i o n )

I E L 5 j _ , )

1 U t e

AMQ 1 7 7 7 P - - D l ~ l t ~ ' l 1 ! `~~STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROMA STATE PAC ( P O L I T I C A L ACT I ON COMMI TTEE) , L I ST THE P AC I D ENT I F I CA T I O NNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COLUMN. A L I S T OF I D NUMBERS I S AVAI LAB LE FROMTHE I OWA ET HI C S AN D CAMPAI GNDI SCLOSURE BOARD.CAUTI 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 m a t i o n c op 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 rf o r an 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 an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

a - / l e "n J A- I6S+.~4 3 u- . 0 ru. e _ ,

A-

S2Do I


NUMBER

NAME AND ADDRESS OF CONTRI BUTOR R EL A T I ON SHI PTOCANDI DATE'( i f a p p l i c a b l e )

SCHEDUL EA MONETARY

( Re v . 0 6 / 9 7 ) 1 RECEI P TSQCHECK THI S BOX I FAMENDI NG FORM

v I F FORFUND-RAI S ERI NCOME


19/44

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 mCONTR I BUTI ONS - - MONEY TAKExm 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 TT EE NAME ( M u 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 )

/ f ! b- S r b ~ Fo2 A- u a mf f -"Mf-~SCHEDULEA MONET ARY( Re v . 0 6 / 9 7 ) 1 RECE I PTS

CHECKT HI S B OX I FAMENDI NG FORM

STAT E CANDI DATES NOTE : I F A C ON TRI BUTI ON I S RECE I VED FROM A STATE PAC ( POL I T I CA L ACT I ON COMMI TTEE) , L I S T T HE PA C I DENT I F I CAT I ONNUMBER AND THE PA C CHECK NUMBER I N T HE DESI GNATED COL UMN . A L I ST OF I D NUMBER S I S A VA I L A BL E FROM T HE I CWA E T HI C S AN D CAMPAI GNDI SCLOSURE BOARD.C AUT I ON : S e c t i o n 6 8 A . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e us e o f i n f o r ma t i o n c o p i e d f r om r e p o r t s a nd s t a t eme 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 a n y c omme r c i a l p ur p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

DATE

PA C I D NUMBER

RECEI VED ( i f a p p l i c a b l e )( MM/ DD/ YR) AND PAC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PT O CANDI DATE'( i f a p p l i c a b l e )

1: I F FOPFUND-RAI SEPI NCOME


20/44

F o r I n s t r u c t i o n s , Se e Ba c k o f Fo r mCONTRI BUTI ONS - MONEY TAKE: v 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 )COMM177EE NAME ( Mu s t b e s ame a s on St a t e me n t o f Or g a n i z a t i on )

I J a FLS~ ~~ A . c i . D t ~ C~ . M t~~

S C H E D U L EA MONETARY( R e v . 0 6 / 9 7 ) =RECE I PTSQ CHECK T HI S BOX I FAMENDI NG FORM

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 A L ACT I ON COMMI TTEE) , L I S T T H E P AC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMT HE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 6 8 H . 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 op 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 rf 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 an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR R ELA T I ONSHI P AMOUNT v I F FORRECE3VED ( i f a p p l i c a b l e ) TO CANDI DATE ' RECEI VED FUND-( MMl DDf YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I N COME

I o c o D C.~C s l y CK# c~I D #

7 , ZI ~~ CK# C, 9 ? ~O. Q=c _ a - e_~ , ; I t o i 6 - , , a . - s ~ 6 c gI D # B ; t ~ A ~ x aoS t r o . v P. ~ , So 6 7 ~ I,ID# AA; ek +

L j CK# ~" O. Box C~a t , t e s o Z6~+~ - 5060~ - 66Z~


21/44

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 mCONTRI BUTI ONS - MONEY T AK Ei v I N

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

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE P AC I D ENT I F I CA T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCL OSURE 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 ma t i o n c op 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 rf o r a n v c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

I r _ c _ S 44%J F6+_t 0 l BI Z Cv~

r 7

E

d

SCHEDUL EA MONETARY

( Re v . 0 6 / 9 7 ) 1 RECE I PTSCHECK T HI S ECX I FAMENDI NG FCRM

I D#7, 29, 0/ CK#

DATE PAC 1 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 ) TO CANDI DATE" RECE I VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i t a p p l i c a b l e ) RAI S ERNUMBER I NCOME


22/44

F o r I n s t r u c t i o n s , Se e Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKE . IN

( 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 TT EE NAME ( Mu s t b e s ame as o n St a t e me n t o f O r g a n i z a t i o n )N I E - S b , 1

F 6 ~ RA-1Ao , 1 - - z - ~C0A, t . A 1 _ , T 1 , C (.STATECANDI DATES NOTE: I F A CONTRI BUT I ON I S RECEI VEDFROMA STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I ST THEPAC I DENT I F I CA TI ONNUMBER AND THE PACCHECK NUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABL E FROMTHEI OWA ETHI CS ANDCAMPAI 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 ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c on t n b u t i o ns o rf o r an y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .PAC I D NUMBER

NAME ANDADDRESS OF CONTRI BUTOR( i f a p p l i c a b l e )

AND PAC CHECKNUMBER

RELAT I ONSHI PTOCANDI DATE'( i f a p p l i c a b l e )

SCHEDUL EAI MONETARY( Re v . 0 6 / 9 7 ) RECEf PTSQCHECKT HI S BOX I F

AMENDI NG FORM


23/44

FORI NSTRUCTI ONS, SEEBACKCORM' T AT E PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADETO STATEWI DE OR LEGI SLATI VE4 NDI DATES, L I S T THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I DNUMBERS I S AVAI LABLE FROM THE I OWAETHI CS & CAMPAI GN- DI SCL OSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame as o n St a t eme n t o f O r g a n i z a t i o n )

EXPENDI TURES - - MONEYSPENT FROM COMMI TTEE ACCOUNT

~1 E. L S ~

~v 2

A - c t p f T-a~

~

CANDI DATEI D NUMBER( i f a p p l i c a b l e )AND PACCHECKNUMBER

NAME AND ADDRESS TO WHOMEXPENDI TURE( Di s b u r s e me n t ) WAS MADE

S. zya~ 1o ~ 1 J a

t

o - P CP 4 1 . 5G/ So o { ~ , c e . Q a t i k Road 43cc

L ) 2 . 4 A01" - ad ; . 1 - PA) AG, d d ~ - e - s , - I ; ~ ~ - -

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P r ; - - H-

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- 7 t i - , S f- - ) ) ~ M. o : . . ~ . d =wu r ~ 5 0 3 l y

PURPOSE( DESCRI BE TRANSACTI ON)

SCHEDUL -B( Re v . 0 9 / 9 7 )

C- 4 - , - p a . . 2A .

MONETARYEXPENDI TURES

CHECK THI S BOX I FAMENDI NG FORM

AMOUNTEXPENDED

z . 3 8 , 3 - 0

I D#

us Po

soot,


24/44

FOR I NSTRUCTI ONS . SEEBACK CORNIZTATEPACCOMMI TTEES : NOTE : FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI SLATI VEANDI DATES . L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN ANDTHEPAC CHECKNUMBER FOREACH EXPENDI TURE . AL I ST OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA

ETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEENAME ( Mu s t De s ame a s on S t a t e me n t o f Or g a ni z a t i o n)

~ - 2 . 9 - b!11D#

CK#9071~c r ( c ~ - l - - ~ o r

U

02 , o0

EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT

N t EI - S&. , , J

Fv 2

A , AD l ro. Q

C n , H , u I Try , : -

4 . . _ ! , l ; CA. _ Q~

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Sz !

&1 1 - 1 - - o C . u . a 4 - S f

+ k z i - . . o . a-. . o u 1 - 4 So3 o 9

B MONETARY( Re v . 0 9 / 9 7 )EXPENDI TURESSCHEDULECHECK THI S BOX I FAMENDI NG FORM

AMOUNTEXPENDED

$ 5 - 0 . 00

3 9 , b s

CK # aog ) o f I P~ Ak. 8 1 , 1 J.A, . , , , -o, , I k S~ oi ( LAW" P a , , rI D# w

7 - 28- o1 CK# L 4 q C. " t 6, ~d

~7_~9_0l1 D# t Q . dCK#pO o + I s f i . S - f - .I D# f , 1 ( t l ~aad~~ - 10- 0 CK# 1 t g t 5 z Cam; ( An / e _ ~ PoSckm

a l a s 1w: L l e . , = 1 _ R . Sob 1 1 7 c-R~4 - e - J c ~- tI D# i a t y a ~

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSEDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON)EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s eme nt ) WAS MADE( MM/ DDJ YR ) AND PACCHECKNUMBER


25/44

FOR I NSTRUCTI ONS . SEE BACK CORI WEXPENDI TURES - MONEY SPENT FROM COMMI TT EE ACCOUNT

I TATE PAC COMMI TT EES : NOTE: FORCONTRI BUTI ONS MADETOSTATEWI DE OR LEGI SLATI V EANDI DATES, L I ST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBERFOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETHI CS & CAMPAI GNDI SCLOSURE BOARD .COMMI TT EE 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 )

n 1 tE. s L , J

Fo K

A - + . t . , o ( 7 v R CDA, , / t t i n-L~a

CANDI DATEI D NUMBER( i f a p p l i c a b l e )AND PAC

CHECKNUMBER

NAME AND ADDRESS TO WHOMEXPENDI TURE( Di s b u r s e me n t ) WAS MADEPURPOSE( DESCRI BE TRANSACTI ON)

SCHEDUL EB

( Re v . 0 9 / 9 7 )

CCHECK T HI S BOX I FAMENDI NG FORMZ o o !

- a z . , I l e -

MONET ARY

EXPENDI TURES


26/44

FOR I NSTRUCTI ONS . SEEBACK(ORA+ 1EXPENDI TURES - MONEY SPENT FROMCOMMI TTEEACCOUNT- TATE PAC COMMI TT EES : NOTE: FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L EGI SL AT I V EANDI DATES, L I ST THE CAND I D ATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMNAND THEt J A C CHECK NUMBER FOR EACH EXPEND I TURE . A L I ST OF I D NUMBERS I S AV A I L ABLE FROMTHE I OWAETHI CS & CAMPA I GN. DI SCL OSURE BOARD .


NAME AND ADDRESS TOWHOMEXPENDI TURE{ D i s b u r s e m e n t ) WAS MADE


COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )k I E L s E n 1

w a r " b uR

A - t A - o ( n r -~

C o mm a - I ~ r J

0P c 4A. I f a ; ~ . C, , .

R. o n n _ f - a r e a l >40- PQ

Pe w r . c . 6 - r e f ,- . _ d

o - 4 f

Pr " r a - f - o -

r . ~

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o

R.

( Re v . 0 9 / 9 7 )MONETARY

EXPENDI TURE

QCHECK THI S BOX I FAMENDI NG FORM

AMOUNTEXPENDED

3~-a

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSEDATE I D NUMBER EXPENDI TURE ( DE S CRI BE TRANSACTI ON)EXPENDED ( 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/ D D/ YR) AND PACCHECKNUMBER

or e- J v x c _( k d' Qd t r - . L A_ l e _ ~


42/44

FORI NSTRUCTl oNS, SEsBAr - oFFoRl h lSCHEDULEEXPENDI TURES - MONEYSPENT FROMCOMMI TcEACCOUNTBIMONETARY" TATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLATI VEANDI DATES, UST THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THEHAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA_=I HI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TT EE NAME ( Mu s t b e s ame as o n St a t eme n t o f O r g a n i z a t i o n )( Re v . 0 9 / 9 7 ) EXPENDI TURE:Q CHECK THI S 3OX I FAMENDI NG FORM>~ r &r se>JCANDI DATEDATE I D NUMBEREXPENDED ( i f a p p l i c a b l e )( MM/ DD/ YR) AND PACCHECKNUMBER

1D#

k ' l r ~R oMNc r T r ' , rNAME AND ADDRESS TO WHOMEXPENDI TURE( D%SDur s emen t ) WAS MADE

w 4 + 4 e t j D L - k


Pro ra. . ~ - aL r2~. dAMOUNTEXPENDED

9 - - 6 - ol cK#4734 of COA" 1 1 f a _ i t p l ^ C. " ~%b : I V a,I D# Pn . o r a , + a l , r e4 . , - . d a ' P 6 c K# 93~ &L . , f b " - i ) ' 6~j ~ / ~I D#

; z Z >9_6-al 13

9_6_01I D# Vi L t y l +UQ. r , - Pa PP- n . . .cK#53~'

I D# &aj aY 7 ` f - k. bRGcq Le, a~9- 6 - o/ CK# l ~~~ )700

I D# 6+e. A " c . ; 1 ( . " I

c 7. . r t : - j KC_I k d' e c ( t r v Jc e . ~ e . ~ ( e A)


43/44

FOR I NSTRUCTI ONS, SEE- : BAC" OFFORI h JEXPENDI TURES - MONEY SPENT FROM COMMI TTEE ACCOUNT" TATE PACCOMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VEANDI DATES . USTTHE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DES I GNATED COLUMN AND THESAC CHECK NUMBER FOR EACH EXPENDI TURE . A UST OF I D NUMBERS I S AVA I LABLE FROM THE I OWAci HI CS & CAMPAI GN DI SCLOSURE BOARD .

I COMMI TTEE NAME ( Mu s t b e s ame as o n St a t eme n t o f O r g a n i z a t i o n )A/ I &L_seAJ i Ok ' A- " D/ 7 -ZR~pMMf 7T_E_ , C_ ~

SCHEDULE


NAME AND ADDRESS TOWHOMEXPENDI TURE( Di s o u r s eme n t ) WAS MADE


B MONETARY( Re v . 0 9 / 9 7 ) IEXPENDI TUREpCHECK THI S BOX I FAMENDI NG FORM


44/44

. Ms o n St a t e me n t o f O r g a n i z a t i o n )

A k _ _ ,

o k - A - t D/ Td-e C _ c )M, , LA 1-T~( - - ,

. s money l o a n e d t o t h e c o mmi t t e e wh i c h i s d e p o s i t e d i n t h e c o mmi t t e e a c c o u nt .s FROM LAST REPORTI NG PERI OD $

F . ARY LOANS RECEI VED THI S REPORTI NG PERI OD, i a l s o ur c e o f l o a n , s u c h a s a b a n k , mu s t b e s h own i f a t h i r d p a r t y i s

- ) I 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 ( PART I ) $ - 20p5'

* 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 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 mmi t t e e R e l a t i o n s h i p mus t b e s h own 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 nd 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 ) ( Se e Pa g e 2 o f f o r msp 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 me 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 le 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 when i t a p p l i e s

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Nielsen Andrew__5099__scanned

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