FOR INSTRUCTIONS, SEE BACK OF FORM = CHECK ONE ee STATEMENT Fy oer toe Usesecromd (ORY oF This is anamended Statement of Organization — MAY 1 4 2007 (Rev.0172006, | ORGANIZATION “Aa intl Statement Comnizaton must bee win Inga tbe commits acertg cantons, TE ‘making expondture, or ncurnng indebtedness exceeding $#80: Amendoants must ba fied witun 30 days ot | Come. # ‘Sonange. Penalioe may be mposed folate led Staterert ct Organization A canddate wth an open Indexed ‘omits that excoeds $7501n actu for another ofte shal fle wkhin 10 days her anew or amended | ugteg 'DR1 disclosing information conceming the campaign forthe new ofce sought ea COMMITTEE NAME < ¢ (Acanddates commitee must ncude the candida’ lastname in the name ofthe committee) Comnitte t+ 2 ) j [oa pe cf comrnlias paras aeoing (1 )Sttewtetngiatetdudge Sanding for Reteton Candia (2 Statewide PAC 2 )Stat Party (4)County Catal Commitee {3}oaunty Cant (8619 Candas {Schoal Ssra or Ofer Pole! Sutcaion Candas (3 secant PAC (}oby PAC ‘(10 )School Board or Other Political Subdivision PAC (11 ) Local Ballot Issue including committee involved in multiple cityicounty ballot issues) ‘COMMITTEE TREASURER (mandatory for all commitees) COMMITTEE CHAIR mandatory except fora candidate's commie) wo ~ we Fite Tle Dyan! weld n itaigraten Te 8 ee iaingadieeeh T = I, ay ‘Code 4 4 j, State +S ‘Code + +. SS ee Go 81 i ta S03/s- Phone (S17. fa ANG © Prone (575)_ 255-057 e-Mail S ex VOSA om eMail eB ata fraganatcandantaay OT Pavooas baleen Comment or description: CG Advocate against ballot issu fice Sous ches Searel a ee County IK Pokal Pay pcb) (octet bat aie eens aac Tao cous Distict_ “PER City oC hea Moines ottiecton: — Sepk 9% vou Sundog br eter: t 7DOR" ne tT ana pa Ging Para EEA aL Commitee tu Elect JeaneHe Woce! a Aiea. or Seontor ame of Fanconi of Recount TT a fees tela Chelny = Wal é Euclid A City T Des Moses “TA ‘S03)u ‘STATEMENT OF AFFIRMATION: By fling tis document the commitie afrms te fllowhg: ‘ling Adaress a gre moreno ae Phone (5/5), a 2a 4 - omat 13) @ Ag Com 1. The commites and at persons connected with the committe understand that they are subject othe laws in lowe Code chapters 8A and S86 andthe adnate ‘les in Chapter 381 of te lowe Asminievaive Code. 2. That lowe Code section 68402 andre 3514.8 requ te fng of Asiosure repos and el he fare ote these reports on of bere te required due Stes Sitject he candidate or charpursen nthe cana of commie eb han acanddata's commas) othe atumate ezazsment ota hl panaly anathe posable Impostion of ter eaminal and civ sanctons. 3. Thatlowa Code section 684 405 and rues 3514.38 through 4 43 raul the placement of he words pad for by” andthe name ofthe cemmites ona pelea! maton excopt for thats tame exompted by state of nse, A corte iat wishes to register a commatise name fr purposes of using He shoe “ald fr BY ans foes net intend to crocs he $760 fing esha shal oe te Form OR SFA Bm, ‘4 Thatlowa Code soton 684.203 and rules 381 4.48 through 452 prohbithe recap of corporate cntibutons by all comme excep fr statewide anocal alt ineve PACS, ‘5, Acanddate anda canlaate's commitee may ely expend campaign funds at permed by lowe code sectons 68A.301 trough 68A.303 and rule 351-425 6. Thatthe committe wil continue to le ecosure reports unt al actly hes ceased, coente funds spent, debi etaived, anda final report anda statement of sores 414.61 ee =2f— 2