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FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE: Reset Farm FORM STATEMENT

L
0 This is an Initial' Statement of Organization DR-1 OF
0 This is an amended" Statement of Organization (REV. 12200
.5) ORGANIZATION
`An initialStatement of organization must be fried within 10 days of the committees accepting contfbutions, For Office Use Only
making expenditures, or incurring indebtedness exceeding $750. Amendments must be fed within 30 days of Coma . #
schema Pene#ies maybe imposedforlate-IHed Statements of Otganrzation . A candidate with an open Indexed
committee that exceeds $750 in activity foranother o1Bce she# No within 10 days erlher a new or amended Audited
DR-1 disclosing information concerning the campaign forthe new oft* sought
Co r

COMMITTEE NAME 1 1

Citizens for Peg Hutchison Recorder


IMPORTANT: Indicate type of committee you are reportingfor. :)
(1 )StatetvidefLegislativef ludge Standing for Retention Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County Central Committee
( 5 )County Candidate ( 8 )City Candidate ( 7 )School Board Political Subdivision Candidate ( B )County PAC ( 8 )City PAC
(10 )School Board or Other Political Subdivision PA~,= lot Issue
COMMITTEE TREASURER
Name
Diane Ogle
220 m Ave

e-Mail
INDICATE PURPOSE OF COMMITTEE - Check One Box Advocate for/against candidate(s) 0 Advocate foriagainst ballot issue(s)
Comment or description :
All Candidates Enter:
Office sought . Warren County Recorder
District:

Political Party (if applicable) Republican Year Standing for Election : 2006
CountylLocal Candidates and Local BalloWranchise Committees Enter.

Warren Date of Election : 6/6/06


County:

Bank Account Nome I 1 Candidate name & Address or Parent Entity (PACs. Ifapplicable).
Affiliate, or Sponsor
Citizens for Peg Hutchison, Recorder Peg Hutchison
Name of Financial InstitutioNtype of Account 11 1 1
Mailing Address
Peoples Savings Bank 21317 90th Ave
Mailing Address 1 1 City 1 J. State 1 1 Zip 1 1
113 N Buxton St New Virginia IA 50210
I
City 1 1 State 1 Zrp
Phone ( )
Indianola IA 50125
e-mail

STATEMENT OF AFFIRMATION : By filing this document the committee affirms thefollowing:

1 . The commbee and all persons connectedwith the committee understand that they are subject to the laws in Iowa Code chapters 68A and68B and the administrative
rules t Chapter 351 of the Iowa Administrative Code.
2. That loves Code section 13BA.402 and rule 331--4.8 require the fling of disclosure reports . The failure to file these reports on or before the required duedata subjects
the cwMidabr< or chairperson (inthe case of conrritless other than a candidate's committee) to the automatic assessment of a civil penalty and the possible 'appositionof
other criminal and civil sanctions pursuant to Iowa Code section 6813.32".

3. That lows Code section GBA.405 and rules 351--4.38 through 4.43 require the placement of the words "paid for Wand the name of the commitiee on all political
materials except for those itemsexempted by statute or rule . A committee fling this statement for purposes of usingthe shwAer "paid for by" and who have notcrossed
the $75D shall notify the Board that the $750 threshold will not be crossed.
4. That Iowa Code section 13811.500 and rules 351-4.44through 4.52prohibit the receipt of corporate corrMbutions by allcommillees except for stalewide and local
ballot
issue PACs .

5. A candidate and acandidate's committee may only expend campaign funds as permitted by Iowa code sections 68A.301 through 68A.303 and rule 351-4.25.
8. That the comniaes wtAcontinue to file disclosure reports until all activity has ceased, commitlee funds spent, debts resolved, and afinal report anda statement
.. . of
ton (DR-M has been fled .

CAA x D
atrxe of re r

3 - 6-
19 Dare Signed

nature of candidate, OR, for air otheroomrniaeas. Chairperson


0 6
Date Sinned

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