FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE: FORM I STATEMENT

0 This is an inIHaI* Statement of Organization DR-1

I
of

0 This is an amended* Statement of Organization (REV . 1212005) ORGANIZATION

An initialStatement of Orgerdzetion must be filedwithin 10 days of the committees accepting contributions, For Offfoe Use Only
making expendfuros, or incurring Indebtedness exceeding $750. Amendments must be tlkd within 30 days of Comm. #
a change. Penalties maybe imposed forlate-fried Statements of Orgenrzation. A candidate with an open Indexed
committee that exceeds $750 in activity foranother ofe shallMe within 10 days either a new or emended Audited
DR-1 disclosing information concerning the compa0n for the now office so Computer
A FlGS & CAMPAI N
COMMITTEE NAME 1 1 CI3C I~®SU 13UA

Peg Hutchison for Recorder MAR

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9 2006
IMPORTANT: Indicate type of committee
(1 )StatewidelLegislative/Judge Standing de PAC ( 3 )State Party ( 4 )County Central Committee
( 5 )County Candidate (6 )City Candidate Il Subdivision Candidate ( 8 )County PAC ( 8 )City PAC
(10 ),School Board or Other Political Subdi ca ssue
COMMITTEE TREASURER (mandatory for all co mmittees ) COMMITTEE
1 1 CHAIR (mandatory except_for a candidate's committee)
Name 1 1 Name
Diane Ogle Peg Hutchison
Maiiin Address 1 1
)A Ave 213 7 90th Ave
1 1 Zip Code 1 1
City, State City, State 1 1 ZiCode 1 1
New Virginia, TA 50210 NewVirginia IA 50210
Phone ( ) Phone (641) 449-3368

e-mail
INDICATE PURPOSE OF COMMITTEE - Check One Box
Comment or description:
a e-MaN
Advocate for/against candidate(s) C1 Advocate fodagainst ballot issue(s)

All Candidates Enter:

office Sought. Warren County Recorder
District:

Political Party (ifapplicable) Republican Year Standing for Election : 2006

County/Local Candidates and Local Ballot/Franchise Committees Enter.
Date of Election : 6/6/06
County: Warren

Bank Account Name Candidate name & Address or Parent Entity (PACs, if applicable),
1 1 Affiliate. or Sponsor
Peg Hutchison for Recorder Peg Hutchison
Name of Financial institution4ype of Account 1 1 1 1
Mailing Address

Peoples Savings Bank 21317 90th Ave

Mailing Address 1 1 City 1 1 state 1 1 Zip 1 1
113 N Buxton St New Virginia IA 50210
1 1
(641 ) 449-3368
city State 1 1 Zip 1 1
Phone
Indianola IA 50125
e-mail

STATEMENTOF AFFIRMATION: By filing this document the committee affirms the following:

1. The committee and all persons corrected with the committee understand that they aresubject to the laws in Iowa Code chapters 68A and68B and theadministrative
rules in Chapter 351 of the Iowa Administrative Code.
failure
2. That Iowa Code section 65A.402 and rule 351--4.8 require the filing of disclosure reports. The to file these reports on or before the required duedates subjects
the ea ntidde or chairperson (n the case of committees otterthan a candidate's committee) to the automatic assessment of a civil penalty and the possible imposition of
other criminal andcivil sanctions pursuant to Iowa Code section SSB.32A(7) .
a That Iowa Code section 60AA05 and rules 351--4.38 through 4.43 require the placement of the words'paid forby" and the nerve of thecommittee on all political
materials except for those Kam exempted by statute or rule. A committee 8fng this statement for purposes of using theshorter "paid forb)r' and who have notcrossed
the $750 shall notify the Boardthat the $750 threshold wall not be crossed.

4. That Iowa Code section 68A.503 and rules 351--4.44 through 4.52 prohibit the receipt of corporate contributions by all committees except for statewide and local ballot
issue PACs.
5. A candidateand a candidate's committeemay only expend campaign funds as permitted by Iowa code sections 68A.301 through !380 .303 and rule 351-4.25.
all
6. That the committeewill continue tome disclosure reports until activity has ceased, committee funds spent, debts resolved, and a final report and a statement of
(DR^3) has been fled.

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``%}iature(iffreViS-w- Date Signed

:
-11

2-4Signature Candidate, OR, for ail omen comrrAtees, Chelrperson

3-- 7- ~~
Date Sipped