yD FOR INSTRUCTIONS, SEE BACK OF FORM ,,,,/A ETHICS ANN [FORM ‘STATEMENT CHECK ONE: DRA OF is aninitia” Statement of Organization fev 0172008) | ORGANIZATION This is an amended’ Statement of Organization 2008 JUN ~3 Py For “An ital Statomont of Orgarezaton mus bo fed with 10 dejo ha artes Sea eo 1f/0 ‘making expenditures, oricuring indebtedness stcvecng $720, Amendments must be hed winn sO dors ot | Corr ‘change. Penalties may be imposed for latefled Satements of Oryaizaton A candidate wttan open | fart Sprint al ercons $750 n acy fr notes sale wann 1Ocayseweraneworanended | Cometer IBS ETS — | DR: aislesing information concerning the campaign forthe new offce sought ‘COMMITTEE NAME ¥ 1 (A candidate's commatoo must nude the candidal’ lat name inthe name ofthe commie) well dit eal seg (1 )Statewide/Logislativa!Judge Standing for Retention uta) Statewide PAC 3 )Stato Party (4 )County Central Committee (5 County Candidate (6 }Cky Candidate (7 )School Board or Other Polieal SubdWiston Candidate { 8 }County PAC (9 )clty PAC {40 )School Board or Other Political Subdivision PAC (11 ) Local Ballot Issue (Including committee involved in multiply leounty ballot issues) ° COMMITTEE TREASURER (mandatory forall committees) COMMITTEE CHAIR ( except fora candidate's committee) Me = Ging Noll were FF Cha Mota Aasese T 2 oO. Box 255" ete gt + Sed Je WEE Pas TA SOSOY wr co(bee” FA SO26 Prove (5751229 -060 | Prove (64257 $780 one NOCLGTNAG Oo). co ear CAC So} bieas@ gaacail Con ‘TE PURPOSE OF COMMITTEE ~ Check One Box LI AavocaioToragums contaeioa) LT Dataissueta) Comment or description 1 Acvocate agent bar ests) “Wi Ganaiates Enter UNG TLSCa Cates and Local Galt Commies COT Oneesowhe ete Seva hE ae vee net comy: hee and Paitical Party (applicable) _ Kz (i actve in multiple Blot issue Sloctons, apn Talo courtes Dit Dae of Elecon ‘esr Standing for lesion GOB ea atk Accom Nama a an Ano ara EA PACE TSG Absl+ for Sew], , ae Namie of Financial nsttutonfiype of Account ¢ 4 rang accra v : Sa] Moe Sh FlUtGnvt ¢ L302 > aSSrh SH. regan Mase Ste TN ea’ | | Az Sao tT eT Dengellson Th 52625 DaunellSon LA S262S~ Bie Tae eT | | Oe eas Fogo eva Absit YSerate@ lowateledom. net} STATEMENT OF AFFIRMATION: By fling this document the commits aims the folowing 4, The committe andl parsons connected wth he commites understand that hey are subject tothe awe in ona Code chapters 88A and 686 andthe administrative ‘ulin Chapior 351 ofthe iowa Administtve Code. 2. That owa Code section S8A.402 and uo 2514.9 require the ng of esclosure ropes and tha the fare ole these reports on or beore the required due dates subjects the candidate or chairperson (in be case of commties ote than a candles commie) to ine auomaic assessment ofa cl penaly sn te posese Impostion a athe o*minal and ei sanctions ‘3, That lowe Code section 69A 405 and ies 351—4.38 though 4.43 require the placement ofthe words “pal for by” and he name ofthe commits one oli! ‘materials except for hose toms exempted by saul or rule. A commas tat wins fo ragiter&conmitosrame for pusones of song te ene ees te and oes nt intend to cross ne $750 fing treshed shed fe the Form OR-SFA fom nou ong tis fom ‘4. That owa Code section 684 503 and mes 251-4 4 through 4.52 proite recip of compra contrbutons by al commits except for satwite an local bat Inoue PACS 5 Acandidate and a canccate's committee may only expend campaign fund as permite by lows code sections 68A 30" through 684.909 and a 364426. 6, That the commitee will coninue fle cslosure reports ul ll activ has casted, commnkloe hinds spent bts etolved, ad a ina epot anda statement of Soret Sos joo ita [oP SLLYOE. x per biberned