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    03 23 2010 DR 1

    Uploaded by

    Zach Edwards
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    03 23 2010 DR 1

    Uploaded by

    Zach Edwards
    21 views1 page
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Original Title

    03-23-2010-dr-1

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    © Attribution Non-Commercial (BY-NC)

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    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views1 page

    03 23 2010 DR 1

    Uploaded by

    Zach Edwards
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FOR|NSTRUCT|ONS,

    sEE BACKoF FORlt4_


    GHECKoNE: l,AETI-llC$
    E(rni" isanInldaFstatement i'i irr{|[ | ! r' ] t"'
    oforganzatidn/t,
    E ttris is an emended' Statamentof Organization
    ' g€/&fu|cJnt
    mud be fild wihin 10 daj6 of @mmitt?€/ Comm.8
    inanringdebfsex@dng $750. tunemlments
    rnasfDe Indered
    Eftc{hre January 1,2010, all slatemenb and reporb fled by new forstgte off@ must be ffld Au<liH
    elecbonfcalfy
    andefrcilve January1,2O12,all statements
    andreportsfiledby all commltbes6r s.lateofie
    mustbe filedelecfonlcally.

    COMMITTEE NAME $ J (A candldat€ tastnameln he nameof thecommlttee.)


    s commllh mustIndudethe candldate's lf amendlngcommft@name,
    putoklnameln ( ).

    IuPORTAI{T: lndlcate type ol comrnltlee you are |lpor{ng ion


    I lstafiillderloglrlatlwlJudge PAG( 3 |StatePafy ( 4 )CountyCantal Comiltbo
    Standlng for Rstandon Candldste
    SlGountyCandEafo
    lSlGltyCandldab{TlschoolBmrdorOfllerPotldcalSubdhrblonGandld$ (SlGoumyPAC(9lGltyPAC

    @UTfiTTEE
    *T t tbndo- fi.)rasborn-
    NameJ {
    ManinsAddcss MalllngAddreso J J
    {dA Bo"^J strue-+
    Ctty,StabJ J zpCode J J

    pr,o*r5l5r H3A- 159 rl Phone ( )


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    *o,u In.tnvStfotu)@ aMall
    II{DICATE PURPOSEgF O9UilIITTEE - Ched<One Box Ll Advocabbrlagalrretcandldate(e)L Advocatetur banothsue(s)
    Commentor dascriotion: r
    Advocele aoalnsl befiot lssuelsl

    #fU|l,ff '*A" te- Cc-J'^qR.c'"nC<-rl-


    Countyrlocal Candldatos and Ballot lssuo @mmllloe8 Ent3n

    Corrnts
    Polifcal Party (lt apptlcable) (]f acfive
    Dlsfrict_ --T6T(f Dab ofElecfion:
    v^6" sl.rvll'i G^? Elar+l^n.

    *""1T* (muslmatqlcomm|ueo
    name, @or@
    J J AfEllab.orSooneor
    t'o^ii.Fl*e,o dl€lad\fe ro,iea-Rar',Li^S^,R*^oL Vro"ttoo"- Ro--dr,"..
    Namoof Flnandallnsttuton/typ€otAccomt .1,J MallngAddress J C
    Bmne Ba-,k q-Tt,-st (, / ch<cK*q
    - l\ \q ftfa,rshe,l\ €*cee-V
    M etty .t J Sttale + Ap t U
    l tto 3 ttn s* 3co".e- J:ft 5c,eEb
    pnorp
    @l5l 432-aO(oo
    &>orr-. zA - .qoo% sMantd-fAtnve-f @ ua-Lrso , (-onn

    STAIEnENTOFAFFIRuATION:Byfllngthlbdcunet*thecommttbeffirmsthofottotlng:

    1. Theoommitbeandanpenmsconrededwiththecommitte€mdenilandthattheyar€subjectbtfielawshloraCodec@e(36EAand6EBandthedmln|sfah€
    rubs h Cilxapbr351 of the lom Admhlsfidne Codg.
    2. That to*a Cde cecdon68A4U! ard rule 351-4.9 requfrathe ffllngol (ffsclcLr€ reporteard that th6 €nure b fils tt@ repdtBo or beforethe requheddue dat€3
    wbJectgtl€ candldabor drallp€rson(ln the caseof @mmmesooth€rthan a canddatds commttFe)b tlE aubrnatc 6€Nne|t ot a ci\rilpomtty Endthe possible
    impGffiond ot|er crlnhal and dvil silefiorE
    3. That lovraCodes€c0on6EAzl05and rules351-4.38 firorrgh 4.43 r€quir€the placementot the ttDrds'pald for bt,, and tho nameof the committeeon all pdlMl
    'peld for b}| snd
    matErlalsercspt for thce ltemseremptedby dafub or rule. A commitbothatwlshesb r€glsbr a commitbenamefor pqrpces ot udtXgthe shorbr
    doeanot lnbnd to cro€othe Sruo fflingthl€hdd shallfrlethe Fom DR€FA bm ln lleJ of fllng thls form.
    4. Thd loiva Codesecdon68A6@ a|d rulcs 351--{ .44 fr:r/rJ|rgh.l2prohlblt the reaelptd comordEoontbutons by a[ commitbeoerept br htht lsstF PAC8.
    5. AcardldalBa|dacardfttab'EcqflrdtFemayonlyofndcamFlgnfrJndoaspennittedbyloracodse€dionsffiso1 ttuough68A"303andrub351-4.25.
    6. Thd tl€ commiuBowill corfinueto fib dlsdosur€r€portsuntilall acSW has oe6ed, commltbeftnds spent deb r@h€d, and a final reponand a stabnEnt ot

    frWc/''/,7#rK
    ,f )3,nw*

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