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4944 FARI,1EP' 11ERIHAIIT'~ BAN ":

FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE : RM STATEMEN I

® This is an Initial' Statement of Organization DR-1 V OF

0 This is an amended' Statement of Organization (Rev . 0112006) ORGANIZATION

'An Initial Statement of Orpanization must be filed within )0 days of the committee's accpjtLbg-0e nbufidns, For Office Use Only
making exoenditures. or incurring indebtedness exceeding 375u? .tllirriyihamer~ls7ft ,SLi~wFMdTDlfn 30 days of Comm . #
a change . °enattiez may be imposed lorlattrfiled SlaternentsIp r candidate with an open Indexed
cbmmetao that exceeds $750 in activity for another oR7ce shah rlo within 10 days either a new or amended Audited
DR- f disclosing information concemmg the campaign for the new office sought . Computer

COMMITTEE NAME L . (A candidate's conlmlriae must Include the candidate's last name in the name of the committee.)

S ch n e'l der fb, .%cerv#

-s*r
indicate type of committed you are reporting
(1 )Statewidell-agislative/Judge Standing for Retention Candidate (2 )Statewide PAC ( 3 )State Party (4 )County Central Committee
( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Polltleal Subdivision Candidate ( 8 )County PAC ( 9 )CIty PAC
10 )School Board or Other Political Subdivision PAC ( 11 ) Local Ballot Issue(Includlng committee I nvolv ed in mul tiple city/county ballot Issuao)

COMMITTEE TREASURER (mandatory for all committees) COMMITTEE CHAIR (mandatory except fora candidate's committee)

Kris K Gill )
NomZ Name
'11'11
(Mailing Address - Lh.3 Ma ing Address y 1 -7 M t K_ tL _ l
,5
Clq~, S a _ ~I ('txJe 1 J. City State .. .. ,` .
a - r tI Ma . -LA ;5
517c+ SC1,ttAL~1

Phone ( ) tD 29-~11 1 Phone ( ) 361-

e-1+1xII a- fmh2ytkohltn~~(W 01 I I e-Mali

INS E OFF COMMITTEE - Check One Box Advocate forlagainst candldate(s) Advocate for ballot issues)
Comment or descriptor: I] Advocate a dines ballot Issue(c)
Candidates Ent aunty/Local Candidates an ocar a tot ommlttees En e :
Office Sought
County:
pi Party (If appllceble) p"-0('r0J- (If 9etive in multiple ballot issue eleedons . attach list of counties

District Date of Election t1A -(6 -Ob

Year Standing for Election :
Bank Account Name : w Candidate name r or Parent Entity (PACs. app ca ie).
1 Affiliate, or Spgnsor

~y rl Zd er F samry 1 ;cY
Name of Financial Institution/type of Acc unt 1 Mailing Address
2C)-''
b
-T
Qhn SChnelder

farmw-s sgym ,
Mailing Address City d .l State 1 y zip L 1

_ e. oe Sfwz Lore True -14 BZ

City - State b 1 Zip 1
Phone Q 19 ) t,517
L®~ ig, Ti e&
e-rul3iI

STATEMENT OF AFFIRMATION : By filling this document the committee affirms the following :

1 . The o:mmlree and all oar&dns connected .+ith the commirlee under ; and that they ere subject lo the laws In Iowa Code chapters 66A and 688 and the adminjetrpu ,ee
rules m Chapter 51 of the Iowa Administrative Code .

2 That lo," a Coca section 63A,402 and 'ule 351 --a 9 require the fling of disclosure reports and that the fafure to file these reports on or before the required due dates
sutlects line :3iolda(e or chairperson (in the case of committees ether tnan a candidate'¢ cornmlttee) to the automatic assassntent of a civil penalty end the possiole
Impoallon of chef cnmlnal and omit 38nction3
3. Thai Iowa C=Ce secuen 155A .40" and rules 3ti1 -t .3E throuar. a 43 require the placement of the words 'pa d for by' and the name of the cemmi(tae on all pout .c z
m~ :eriats except for tho-~se Mama exenlptr:d by statute or rule. A commlttae that wishes to register a committee name for purposes of using the :horter'pnid for cy" and
does net InienC io cross toe $751) (ding threshold shall file the Fc-m DR-SFA form
a Thai Iowa Codr. section 59A 503 and rules 351 -a,aa through 4 52 prchibittha receipt of corporate conthbutlcns by all commltiees except for statewide and local ballot
issue PAC;
5. .A -, ndidate and a candidate's commlnee mdr oMr expend campaign funds ax owmined by Iowa code "clions f;BA.301 through 63A 303 and rule 351-4 2e
That the committen AIII continue to file dleclcsure reports until all activity has ceased, commlttoe hinds spent, debts resolved . and a final report ano a Statemanl of
ctsgoluw,n fDR-3, has been filed .,

4, 1446
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