Sent By : American College of Hairstyling ; 1 515 244 5158 ; Oct-13-04 15 :32 ; Page 1/3

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FOR INSTRUCTIONS, SEE BAOK OF FORM
FORM
DISCLOSUR SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be sane a~ n Statement of Organization) (Rev . 07/2004) REPORT

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Comm . f¬ d _
IMPORTANT: Indicate by # typo of committee you are reporting for: Logged In
( 1 )StatewIdelLegislative/Judge Standing for Retention Candidate ( 2 )State PAC (
3 )State Party
(4 )County Cantrai Committee ( 5 )Col+nty Candidate (5 Pty Candidate ( 7 )School Board or Other Scanned
Polltlcal Subdivision Candidate ( 8 )C unty PAC ( 9 )City PAC ( 10 )School Board or Other Poltical Computer
Subdivision PAC ( 11 ) I»oCal Ballot I4ue
Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name litical Party (if applicable)
Late reports are subject to
possible civil and cnminal
penalties .

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #

[]CHECK IF AMENDMENT TO RE~ORT DATED Local Committees, enter Date of Election

0 Check If this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County & local Committees, enter County in
(You must continue to file mports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning the reporting period . (Total of all funds held by the
committee. This amount UST be the same as the cash on hand at the end
of the last reporting period pr must be zero if this is first report filed.) .. .. ..... ...... . . . .. .. ..... .. .. . .S
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contrib~tlons total (Attach Schedule A) ('also sea in-kind below) . .. .... .. 109,019
Schodulo F: Loans Received total (Attach Schedule F) . ......... .. ..... .. .. . ... .. .. . ...... ... .. .. .... .. ...... M .00
Schedule H: Total Sales ol Campaign Property (Attach Schedule H) . .. . . .... ...... . .. .. ....... .. .....
(Schedule H eppcs to Candidates' Committees Only)
SUB-TOTAL.. .. ..$
SUBTRACT TOTAL MON~Y SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . .. 1 .
Schedule F: Loan Repayments total (Attach Schedule F) .... .. .... ..... ..... ........ ......... ... . ....... ...

3
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) ... . .. .t .. .. .. . .. .... .. .. ..... .. ..........." . . . .... . .... .. ..... .. .. ... ...... .. ....... ....... . . .. ._ .. ._ .$
.-
"UNPAID BILLS (From Schedule DI- Attach Schedule D) .. ..... ... . .... ...... . .. ..... .. ...... ..... .... ..... .. . . ... . . . ...$
'IN KIND CONTRIBUTIONS (From ~chedule E-Attach Schedule E) ... . ... ..... .. ... .. ...... ..... .. .. ... ...... ....$
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . ..... .. .... .. .. . .... .. .. ... ...... . . ... .. .... .. .. ..$
CANDIDATE COMMITTEES ONLY ::
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERT( (From Schedule H - Attach Schedule H) $
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For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN

A MONETARY
(Rev 07/03) RECEIPTS
(Including candidate's personal funds)

CHECK THIS OOX IF

COMMITTEE NAME (Must be same as on Statement of Org AMENDING FORM

U.,01 -re-v &gW

STATE CANDIDATES NOTE : IF A CONTIkIBtJI-ION IS RECENED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER I THC DESIGNATED COLUMN, A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), IowsiCode, 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,
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DATE PAC ID NUMBER { NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4: IF FCR
RECEIVED (if applicable) TO CANDIDATE:' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#

CK#

ID#

CK#

_,
]DO

CK#

I D#
l
CK#

ID*

CK#

I D#

C K#

ID#

CK# '

_
ID# I

C K#

I D#

CK#
-_
10#

CK#

SUB-TOTAL

TOTAL (if last page of thIs schedule)

Disclosure law require: candidate eomrrutims to disclose the relatlonship of any relative making a conltlbutlon to the
committee. Relationship must be shown to the third do roe of oonaanguinhy (blood rotativcs) and afflnity (relattvta by
marriage) . 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)
Sent By : American College of Hairstyling ; 1 515 244 5158, Oct-13-04 15 :32 ; Page 2/3

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 07103)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE . FOk CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, UST THE CANDIDATE IDENTIFICATION NUMBER IN THF DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE, A LIST OF ID NUMBERS IS AVAILABLE FROM . THE IOvva AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

CANDIDATC ;NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE (DESCRIBE TRANSACTION) - EXPENDED
ID NUMBER EXPENDITURE
EXPENDED (if applh able) (DIsbursament) WAS MADE
(MM/DDIYR) AND- PAC
CHECK
NUMBER
ID# GU~,1.~5
13A-U)~ 1CRl~G©

$ x;"30
ID#

aT C
,
ID# -

CK#
leGa
ID#

CK#

ID#

CK#

ID-4

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

D
TOTAL (if last page of this schedule)
1 s'-'
THIS BOX APPLIES TO CANDIDATES , COMMITTEES ONLY :

Purchases of certain campaign property o6stIng 5500 or n1ore awsi also be inventoried on Schedule H . (Refer to Schedule H Insb1cdons.)

Fxpenditures to personslentlties providing insulting, advertising ; fund-raising, polling, managing, organizing services mustalao be dotsll Itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the aandidAwa committee . (Refer to
Schedulo G instructions and Iowa Code 66A ,402(3)(I) . ; -

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