COMMITTEE NAME (Must be same as on Statement of Organization)
fur Vie- Slean~ N~- LPuQ
UM ~-~33
Political Party (if applicable)
Office Sought
District (if Senate or House)
SIGNATURE OF PERSON FILING
Logged In Scanned
I AM FILING A
Computer Audited
Late reports are subject to possible civil and criminal penalties.
S/S -- ..2V3 - 3~ti4 TELEPHONE
EPORT
10 LCXd_ .
DISCLOSURE REPORT
For Office Use Only Comm . #
PORTANT: Indicate by # type of committee you are reporting for. ( 1 )Statewide/LegislativelJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Politi cal Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local Ballot Issue CANDIDATE COMMITTEES ONLY : Candidate Name
I
/z - 30-o
DATE SIGNED
V
REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date)
Indicate by # IT Local Committees, enter Date of Election
HECK IF AMENDMENT TO REPORT DATED E] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . (You must continue to file reports until a DR-3 is filed.)
County & Local Committees, enter County in 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
3q- r7
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ... .. ... .. Schedule F: Loans Received total (Attach Schedule F) . .. .. .. . . . . ... . .. ... .. .. .. . .. .. . . . .. .. ... . . .. ... .. .. . .. Schedule H: Total Sales of Campaign Property (Attach Schedule H) . .. .. . .... .. ... .. ... .. .. ... .. ... .. (Schedule H avolles to Candidates' Committees Only) SUB-TOTAL .....$ SUBTRACT TOTAL MONEY SPENT THIS PERIOD
CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
$
r Instructions, See Back of Form
SCHEDULE
A
ONTRIBUTIONS -- MONEY TAKEN IN
V
(Including candidate's personal funds)
MMITTEE NAME (Must be ame as on Statement of grganization) W _
.
: SkeG
MONETARY RECEIPTS
(Rev . 07103
-yewLbCGti( U~ ~~ x- .33
`CHECK THIS BOX IF AMENDING FORM
~
STATE CANDIDATES NOTE : IF A CONTRIBUTION 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 FROM THE 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 RECEIVED (MM/DD/YR)
PAC ID NUMBER (ff applicable) AND PAC CHECK NUMBER
ID# r) 100q
-/Zq "U I
CK#
CK#
Oq
oy
0~
'S I IrIWT~
"J
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G( l
NAk MQ
t4nl
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RELATIONSHIP TO CANDIDATE' (if, applicable)
AMOUNT RECEIVED
CK#
ID# (I 30
CONTRIBUTOR~~ C0j ~NAME, AND ADDRES,-'OF .
' ~f
3 7 r
ID# CK#
N (7
r l
ID# CK# ID# CK# ID# cK#
~sl.'~ triarrica
~ A. L,,r~Lrlr,
CK# ID#
%l~d l
CK# ID#
I0 t H) ~
CK#
1
SUB-TOTAL
-374 ,
TOTAL (if last page of this schedule) ` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the oommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by marriage) . If surname of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
L Page
(for Schedule A)
J IF FOR FUNDRAISER INCOME
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
B I MONETARY (Rev . 07/03) ~~ENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD . COMMITTEE NAME (Must be same as on Statement of Organization)
CHECK THIS BOX IF AMENDING FORM
,
AqC R011ILW _11XM14~_ U CO ON `4yA*3, CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED (if applicable) (Disbursement) WAS MADE (MM/DDIYR) AND PAC CHECK NUMBER
Low
ID#
qj23 jcq
cK#
33 PA C !v~o'I
AMOUNT EXPENDED
$ l c4~Sycn
ID#
Vol D
CKO
.
ID#
9' I00-I CK# ID#
q-z tq ~ `,~ rl -1 9
CK#
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I I CH
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CK# ~ ( ID#
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X03 i 7
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IN CK#
fl' aW
TAs((
SUB-TOTAL
$
TOTAL (If last page of thIs schedule)
$
.
~~
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 personslentities 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 6t1A.402(3)(i).) Page
of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
EXPENDITURES
--
~ ~
t'wtM
MONEY SPENT FROM COMMITTEE ACCOUNT
SCHEDULE
B
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD . COMMITTEE NAME (Mu t be same as on Statement of Organization)
Va
EZL~u~
DATE EXPENDED (MM/DD/YR)
I
CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER
ID# cK#
153
NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE
~,
ECK THIS BOX IF AMENDING FORM
33
PURPOSE (DESCRIBE TRANSACTION)
AMOUNT EXPENDED
-Solile~GhrIj $
ID#
FOl SVdkaw)C
[o# 523- Sauu SCIQ fbr- P.(-~ CK# ID#
CK#
1 is a
Io
ID*
1 .51
cK#
2~
ID# 1 53 CK# LZp ID# 51 ID* cK#
5C~
~tYCX`S p , G17 - . IV& S-k-,
IL49
cK# I
FA
t ucq
MONETARY EXPENDITURES
(Rev . 07/03)
30?S (0V+-, 5Akct.< <fiawnJA 570152 oan F_IjN`br S"_ 30° AA U P
UO
-5ZnO l hrW~ ~ (f < < v rya-" (b Qj~ itC 13 . N
oswoo,,K ic~ 6~~rn P W3 P ~jA 523 u-eS ,r ~Q Cll~l
Ka^ fby ~ o3 Af6JAA-rt 9 -51313 1.
SUB-TOTAL $ TOTAL (iflast page ofthis schedule) $
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 personslentities 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 person/entity on behalf of the candidate's committee. (Refer to Schedule G instructions . and Iowa Code 68A.402(3)(i).)
(for Schedule B)
` FOR INSTRUCTIONS, SEE BACK OF FORM
EXPENDITURES
--
SCHEDULE
MONEY SPENT FROM COMMITTEE ACCOUNT
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD .
/JA
CQMMITTEE NAME (Must be same _P~ as on Statement U of O anization)
v~ tS'n
DATE EXPENDED (MM/DDIYR)
fl -
CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER
CO
un(0
NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE
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 persoNentity on behalf of the candidate's committee . (Refer to Schedule G instructions and Iowa Code 68A.402(3)(i) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
FORM
Reset Form
DISCLOSURE SUMMARY PAGE
DR-2
(Rev . 07/2004)
COMMITTEE NAME (Must be same as on Statement of Organization)
IuM.b" '. A(4
LOW 33 P~
Political Party (if applicable) t strict (if Senate or House)
Comm . #
Logged laSU Scanned
Computer Audited
Late reports are subject to possible civil and criminal penalties.
TELEPHONE I AM FILING A
10f `q'cq
DISCLOSURE REPORT
For Office UseOnly
H-6v f IMPORTANT: Indicate by # type of committee you are reporting for: ( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political Subdivision Candidate ( 8 )CPAC- ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local , CANDIDATE COMMITTEES ONLY: Candidate Name
I
DATE SIGNED
REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR . Indicate by # 1-1
(report date)
Local Committees, enter Date of Election
OCHECK IF AMENDMENT TO REPORT DATED El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. (You must continue to file reports until a DR-3 is filed.)
County & Local Committees, enter County in 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
3(rrs~; . 2
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . ... .. .. .. 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 ..... $ SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) ... . Schedule F: Loan Repayments total (Attach Schedule F) . .. .... . .... .. ... .. .. .. ... .. .. ..... .. .. . . .. . .. .. .. .. CASH ON HAND at the end of this reporting period (if final report balance must be zero) (Attach DR-3) . ... .. .. .... . . ... .. .. ..... .. .. .... . .. .. . . .. ... .. .. ..... .. .. .. . . ... .. .. ..... .. ... .. . . .. .. .. ..... .. .. . .. .. .. $ **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?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
2 -9 . 23v iP
For Instructions, See Back of Form
Reset Form
CONTRIBUTIONS -- MONEY TAKEN IN
SCHEDULE
(Including candidate's personal funds)
LOW4 Oil
MONETARY RECEIPTS
Ej CHECK THIS BOX IF AMENDING FORM
MMITTEE NAME (Must be same as on Statement of Qrganization) Seer,
A
(Rev . 07/03)
33
PAL,
STATE CANDIDATES NOTE : IF A CONTRIBUTION 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 FROM THE 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 RECEIVED (MM/DD/YR)
_
wq
(11
PAC ID NUMBER (if applicable) AND CHECK UMBER
ID#
_
~N,,,A_M)-E .A~ND ADDRES
Co rl.l . Vr1(
(
7J
7
"J
' `
h ~" ~.
OF CONTRIBUTOR
RELATIONSHIP TO CANDIDATE" (if applicable)
N~ A,-,e f~~ Anl ZS ~ s~
AMOUNT RECEIVED
4 IF FOR FUNDINCOME ME
o
CK#
El
ID# q
CK# ID#
(13v
~
CK#
t
3 r1
0
~p
ID#
3q7
CK#
~~oy 3o 0y
ID# CK# ID# CK# ID#
v~
CK# ID# CK#
~~dY
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~
r
)
,
~(
SgS,~,
~i 0
00
ID#
3
CK# ID# CK#
0
11 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) . If sumame of contributor is the same as candidate, but there is no familial relationship, enter "not applicable" in the relationship column .
Page
(for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
EXPENDITURES -- MONE Y SPENT FROM COMMITTEE ACCOUNT STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD.
B I (Rev . 07103)
MONETARY EXPENDITURES
D CHECK THIS BOX IF AMENDING FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
DATE EXPENDED (MM/DD/YR)
l a ca4l~v~n *3314 : .~n.~~fi ~uc CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) (if applicable) (Disbursement) WAS MADE AND PAC CHECK NUMBER
ID#
Cocod 33
`-1f231dq CK#
OC4 ~(C~(
CK#
tO AT
CK#
CK# i
(Q 1
I~Z
ID# cK# ID# CK#
~~q3 IG'ul l
ID# q -,D4)Lf
c
heCJ . $ l 14S .w
0
~ ^11CS
rmY_ u(4 Q
CK#I
q Z "q
7
Vol 1J
ID#
-2o o-f
tjs~
ID#
ID#
q 2.(~LI
rjjrVI
,9AC
AMOUNT EXPENDED
CK# t
5 3~ ~q ~
C
t
0 C
ruty
2I~
fDYP~"~
OIG~ ~ In Ykj fM )~7A so-3'
2So
17
R22~ 3~t" 6r nj ,tA ;~ 5 C~3 10 111-ses
M ,_ 14-2 lv io
2SD
O'ec
~~A ~a
(
-.
. Z 50 '
wtS6'1(br oLtt P-eo~ S O(-L('1- lYe~(J' _TA
5"( TOTAL (If last page of this schedule)
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 person/entity on behalf of the candidate's committee. (Refer to Sched ule G instructions and Iowa Code 68A.402(3)(i) .) Page
(for Schedule B)
Reset
FOR INSTRUCTIONS, SEE BACK OF FORM
Form SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS & CAMPAIGN DISCLOSURE BOARD.
B
(Rev . 07/03)
MONETARY EXPENDITURES
CHECK THIS BOX IF AMENDING FORM
COMMITTEE NAME (Mu t be Same aS on Statement of Organization)
DATE EXPENDED (MMIDDIYR)
CANDIDATE iD NUMBER (if applicable) AND PAC CHECK NUMBER ID# 153~
NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement] WAS MADE
-
-
AMOUNT EXPENDED
PURPOSE (DESCRIBE TRANSACTION)
3ahrQ
1
ID#
I jL4 3
cK# I
FA
in
CK# ID# cK#
~s
rj
ILCA - W
1 ~'
ID#
151(o
CK#
Z00
ID*
j_jG3
CK# 12 FM _ ID# 'is
~642~ r (6 4
3
Sl 0~'1111
cK#
y_N
1~.~5
< «aui~r.
e coo ~'
s~~
W4-AC
r -f-uwa
~-
523
.~
t t-L- 3 q~A a.-e ., y~ ci li 'IU~ ,,i _PKAtS
(5b7 ~2(~
h S~-
OGnieJJ OA e3( Ob w"/M~ -50901 (b e l l V4 i' V*a-U a4co ft(I ,~ US" (OQSK 0Wt
CK#~Z ID#
C-Dr S_&""w3e... W f 6 1
~'
rnr
5,313
C
SUB-TOTAL
$
TOTAL (if last page of this schedule)
$
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 persordentity on behalf of the candidate's committee. (Refer to Schedule G instructions and Iowa Code 68A.402(3)(i) .)
(for Schedule B)
Reset Form
FOR INSTRUCTIONS, SEE BACK OF FORM
EXPENDITURES
--
MONEY SPENT FROM COMMITTEE ACCOUNT
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS &CAMPAIGN DISCLOSURE BOARD .
SCHEDULE
B
(Rev. 07/03)
D
MONETARY EXPENDITURES
CHECK THIS BOX IF AMENDING FORM
C MMITTEE NAME (Must be same as on Statement of O anization)
DATE EXPENDED (MM/DD1YR)
CANDIDATE ID NUMBER (if applicable) AND PAC CHECK NUMBER
Q /I'~-
l NAME AND ADDRESS TO WHOM EXPENDITURE (Disbursement) WAS MADE
aV
PURPOSE (DESCRIBE TRANSACTION)
AMOUNT EXPENDED
v
s
CK# mq ID# CK#
(
Gl~
2Z
I~
CK# ID# CK# ID# CK# I D# CK# I D# CK# ID# CK# SUB-TOTAL
$
TOTAL (if last page of this schedule) 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 person/entity on behalf of the candidate's committee. (Refer to Schedule G instructions and Iowa Code 68A.402(3)(i) .)