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  • 8/7/2019 Miller Ronald C__1520__scanned

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    01?0312005 0 9 : 55

    House Re p r e s e na t i v e

    SI GNATURECAM F I L I NG A J a n u a r y 1 9 D i c c l o s u r c

    E] CHECK I F AMENDMENT TO REPORT DATED

    13192032799RFSW AND COFOR I N STRUCT I ONS, SEE BACK OF FORMDI SCL OSURE SUMMARY PAGECOMMI 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 )

    M i l l e r f o r Towa Ho u s eI MPORTANT : I n d i c a t e b y # t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r : I 1

    I

    ( t ) S t a t e w i d e / L e g l 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 C o mm i t t e e ( 5 ) C o un t y C a n d i d a t e ( 0 ) 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 t t l 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 ( 8 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r Ot h e r P o l i t i c a l

    F PERSON F I L I NG REPORT

    ( r e p o r t d a t e )

    2 3

    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 n d 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 o r m DR- 3 .( Yo u mus 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 OR- 3 i s f i l e d . )

    3 1 N3 3 - Sa o a

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    CASH 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 n d s h e l d b y t h ec 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 do 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 mus t b e z e r 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 . )

    . . . . . . . . . . . . . . . . . .

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    L at e r e p o r t s a r e s u bj e c t t op os s i b l e c i v i l a n d c r i m i n a lp en al t i e s .

    PAGE 01

    L o c a l C ommi t t e e s , e n t e r D a t e o f E l e c t i o n

    Co un 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

    S 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 eCANDI DATE COMMI TTEES ONLY :Ca n di d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )Ro n a l d C. Mi l l e r / A A D c mo c r a tO f f i c e Sou g h t D i s t r i c t ( i f S en a t e o r Hou se )

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    01/ 03/ 2005 0 9 : 5513192932799PFSW AND CO PAGE 02Fo r I n s t r u c t i o n s , Se e B a c k o f Fo r t hCONTRI 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 )

    STATE CANDI DATES NOTE: I F ACONTRI BUTI ON I S RECEI VED FRONUMBER ANDTHEPAC CHECKNUMBER I N THE DESI GNATED COLUMDI SCLOSURE BOARD

    COMMI TT EE NAME ( Mu s t b e same a s o n St a t e me n t o f Or g a nl a a t l o n)NM I l P , -

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    A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONA L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS ANDCAMPAI GN

    CAUTI ON : Se ct i o n 60B . 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 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 nt s f o r s o l i c i t i n g c e r i t r i b u t i o n s o rf o r a ny 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 es .

    I

    SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECE I PTS

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    01/ 03! 2005 0 9 : 55 13192832793 RFSW AND CO PAGE 0 3FOR I NSTRUCTI ONS, SEE BACK OFFORM " ! i , ~ ' J I d 1 j ' ! SCHEDULE

    B MONETARYEXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MAOE TO STATEWI DEOR LEGI S LAT I V E BOX I FCANDI DATES, L I ST THECANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMNANDTHE CHECKT HI SPACCHECK NUMBER FOREACH EXPENDI TURE, A L I S T OF I D NUMBERS I S AVAI L ABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GNDI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s am e 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 )M i l l e r f o r I o wa Ho u s e

    DATECANDI DATEI D NUMBER NAME AND

    ADDRESSTOWHOMEXPENDI TURE

    PURPOSE( DESCRI BETRANSACTI ON)

    AMOUNTEXPENDEDEXPENDED ( I f a p p l i c a b l e ) ( Di s b u r s e me n t ) WASMADE( MMr 001YR) ANDPACCHECK

    NUMBERI D# KQM( -

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    0 1 / 9 3 / 2 09 5 09 : 5 51 3 1 9 2 8 3 2 7 9 9R F S I I A AND COFORI NSTRUCTI ONS, SEE BACK OF FORM

    COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t o ms n t o f O r g a n i z a t i o n )Mi l l c r f o r I o u : + H o u s e

    PAGE 0 4

    SCHEDUL E)E

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    CHECK THI S BOX I FAMENDI NG FORM

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    Fa 9 I NSTRUCTI ONS, SEE BACK OF FORMCOMMI TTEE NAME( Mas t be same a s o n S l a t emen l o 1 O r g e n ) z a t i n n )M I I I e r f af TowQNor - t s,-

    NOTE : T h i s s c h e du l e r e p o r t s mon ey l o a n ed t o t h e c ommi t t e e wh i c h i s d e po s i t e d i n t h e c ommi t t e e a c c o u n t .TOTAL UNPAI D LOANS FROM LAST REPORTI NGPERI OD S 1 , On o 0 0~PART I - MONETARY LOANS RECEI VED THI S REPORTI NG PERI OD( O r i g i n a l s o u r c e s o f l o a n , s u c h a s a b an k, mu s t b e s h o wn i t 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 an s f r o m c a n d d al e ' s p e f s o n a l f u n d s )

    TOTAL ( PART) )

    S

    ' D i s c l o s u r e l aw r e q u i r e s c a n di d a t e c ommi 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 l r i b u f f 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 be s h o w n t o I f w t h i r d d e g r e e o fc o n s an g ui n i t y ( b l o o d r e l a t i v e s ) a n d s t 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 i r i b u l o r i st h e same as c a n d i d a t e , b u t t h e r e i s n o f a mi l i a l r e l a t i o n s h i p , e n t e f " n o t a pp l i c a bl e i n t h er e l a t i o n s h i p c o l u mn w hen i t a p p l i e s .

    PART I I - MONETARY LOAN REPAYMENTS MADE THI S REPORTI NG PERI OD( L o a n s f o r g i v e n must be r e p o r t e d on S c h ed u l e E- I n - l a n d C an f r i b u l i o n s . )

    TOTAL CASH REPAYMENTS ( PART 1 1 )

    S WD0

    F r o m S c h ed u l e E- TOTAL LOANS FORGI VEN

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    TOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD

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    DATERECEI VEDMh1 1DDNR

    NAME ANDADDRESSOF LENDER( I n c l u d e E n d o r s e r ' s Name, I t A p p l i c a b l e ) RELAT I ONSH I PTO CANDI DATEt f A f i c a b l e 'AMOUNTOF LOAN

    $

    DATE PAI D( Mb. VOD1YR) NAME AND ADDRESSOF 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 )RELATI ONSHI PTO CANDI DATE'I f A h c a b l e )

    AMOUNTREPAI D

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