AUG-9-2004 10 :53 FROM :TERRY AND ELAINE HAR 3192277868 TO :15152813701

FOR 1NSTRUC710NS, SEE BACK OF FORM

I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use Only

l a », m' Jfi t- -+, F-) rc'+ Je rr !4 ~-h r r; v, Qfo~..- r SU s aft Comm. #
IMPORTANT: Indicate by # type of committee you are reporting for. Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
(4 )County Central Committee (5 )County Candidate (6)City ndate (7 )School Board or Other Scanned
Political Subdivision Candidate ( 8 )County PAC ( 8 )C' 10 chool Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot Issue
Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name
err Late reports are subject to
possible civil and criminal
Office Sought penalties.

(..~r,) i- a-/- 21-&g-

TELEPHONE DA E GIS DE

I AM FILING A REPORT FOR (1 ELECTIO (2)NOWELECTION YEAR .

(report date) Indicate by OF]

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

(] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County 8 Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (Total of all funds held by the
committee . This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed.) . .. ..... .. .. ..... ...... ......... . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ("also see in-kind below) .. .... ... aa00 .06
Schedule F: Loans Received total (Attach Schedule F) .. .. ....... .... ..... .. .... .... .. . ......... ...... ... ....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. . . .. ....... .. .. .. ... .. .. .. ... .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL..... aAo o .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . .. ,;~ OS7 .3v
Schedule F: Loan Repayments total (Attach Schedule F) ..... .. .. ..... ., .. .. . ...... ......... .... .. . .... .. ..
CASH ON HAND at the end of this reporting period (f final report balance must
be zero) (Attach DR-3) . ..... .. .. ......... .. .. ..... .... ..... .. . ... .. .... ... ...... ..... .. .. ... .. .. .. ... . ..... .. .. ....... ..... ... .. $ ya 70

"UNPAID BILLS (From Schedule D - Attach Schedule D) .... .. .... ... .. .. ..... ...... .. ....... .... .. . .. .... .. ....... .... .$
'IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) ... .. .... ..... .... .. ..... .. .. ................ ..$
"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . .. .... ...... ..... .... ..... .. .. ... .. .... ....... .. ..$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
JUL-24-E004 10 :17 FROM :TERRY AND ELAINE HAR 3192277868 TO :15152813701 P .2

For Instructions, See Back of Form SCHEDULE

A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
r
~- I io E(ec* T1 err HcthP .l. '~. `P, SpeI-U;S
STATE CANDIDATES NOTE : IF A CONTRIBUT10N IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROMTME IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

/
ID#

CK#
dGu
7GR a S+i c
-
/qe w h C1 6l ,
$ o. Oo

y
ID#
~o6erit
- t Te e'-ro .-~ l~~
.o b ~ r %I K ^d 570 _ Uv
SIUS" CK# 6rbar,q~ -Ldtuo~
ID#
G s ~, /V ,¢ 50c) . 00
G 11S/o S CK#
ID#

(own -54k,, k)

7 CK# CMG S h l Ill /4 3C)u, Oi

fi tJI CL ~~~~ l
iD#

CK# ,300 .00

ID#

CK#

ID#

CK#

ID# 7=i'7
CK#

ID#

CK#

I I 1 I I I 1
SUB-TOTAL

TOTAL (if last page of this schedule)

' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of -
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
JUL-24-F004 10 :17 FROM :TERRY AND ELAINE HAR 3192277868 TO :15152813701 P .3

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

COMMITTEE NAME (Must be same as on Statement of Organization)

r_ mrni 2[ rr r S ert! (S d r
CANDIDATE NAM AND ADDRE TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE j
(MWDD/YR) AND PAC
CHECK
NUMBER
I D#
see h"-e~
PF..hlo 8 Q
A d e~
S/a5/0V CK#,la aag $d/7 .3 51
h~n.btr  s~~u8'
ID#
CK# t4
hu" b4 r ~i *ati, 1 =1 y
ID#

3 CK#/UU/
AdS 9~ O U
/~~/O7 S4-

L
ID#
ue w r r e f~.Cl G f} 'J
(o CK# /UU ~L I
11~ _a
ID# .
S y ~" . ao
CK# j U 03 p`~4 g ~r u ~ J
a
a.O
ID#

e.hory~ CAta S 5' . yS

S~as/ CK#

ID#
J j mDPr I t ~e MQA~
C K#/ n so (-yo n .s Lan g. Pe+,s aid _PtncL is -7yS. 47
y J~ y v op 5130 a
fV(ar", =w

yt) A Oc N L~ As- ~ .
7/dog/tO`~ CK#/t) 08 yi l
Qed4r Rap1ds _18 S-j_xa a,

SUB-TOTAL $/,f 4
30
TOTAL (iflast page of this schedule) $
l 1

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to personsfentities providing consulting, advertising, fund-raising, palling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity an behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1) .)

Page of _C2

(for Schedule B)
JUL-24-F)004 10 :17 FROM :TERRY AND ELAINE HAR 3192277868 TO :1515EB13701 P .4

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 09197) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)

ec* err rrIh *Oh`y8~'c1 2 r UcSOr

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE i
(MM/DD/YR) AND PAC
CHECK
NUMBER
lo# l.itrcw~ r'~. Ad s
7 r a ~~ ~' c: s S~ /94 .00

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ J q !o . Up

TOTAL (if last page of this schedule) $ cq 05 7-3V

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's committee, (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

Page - 0, _ of

(for Schedule B)