FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE: FORM STATEMENT

0 This is an Initial* Statement of Organization DR-1 of
0 This is an amended* Statement of Organization (REV. 12/2005) ORGANIZATION
`An initial Statement of Organization must be filed within 10 days of the committee's accepting contributions, For Office Use Only
making expenditures, or incurring indebtedness exceeding $750. Amendments must be filed within 30 days of Cornm. s
a change. Penalties maybe imposed for late-filed Statements of Organization . A candidate with an open Indexed
committee that exceeds $750 in activity foranother office shall file within 10 days "r a new or artterldad Audited
DR-1 disclosing information conceming the campaign for the new office so ' Computer
rr ..

COMMITTEE NAME ~ 1
JAN ;3 ?0(116
Lincoln For Sheriff
IMPORTANT: Indicate type of committee you are reporting for.
( i )StatewidelLagisIaUvelJudge Standing for Retention Candidati ~ g#ty ( 4 )County Central Committee
( S )County Candidate ( 8 )City Candidate ( 7 )School Board or Other cal~u`6 s one (8 )County PAC (9 )City PAC
(10 )School Board or Other Political Subdivision PAC (11 ) Local Ballot Issue
COMMITTEE TREASURER tmandatoryfor all committees) - - COMMITTEE CHAIRAmandatoryexcept fora candidate's committee)
Names Name .~ ~.
Darwin J. Andresen Joanne Lee
~~i ' th~Street 29 T12t~h Ave.
1 1 Zip Code 1 1
City, State 1 1 Zip Code 1 1
City State
DeWi , Iowa 52742 DeWitt, Iowa 52742
Phone (563) 659-3047 (Days)659-2360 , I Phone (569-) 659-5651 (Days) 659-9236
e-Mail - I I e-Mail
INDICATE PURPOSE OF COMMITTEE - Check One Box Advocate for/against candidate(s) Advocate for/against ballot issues)
Comment or description_ :
All Candidates Enter.
Office Sought: Sheriff' District :

Political Party (if applicable) Democrat Year Standing for Election: 2008
County/Local Candidates and Local Ba11oUFranchise Committees Enter:
Date of Election : Nov. 2008
county : Clinton
Bank Account Name 1-1 Candidate name ti Address or Parent Entity (PACs. if aoolicablei.
1 1 Affilfata. or $ponsor
Lincoln For Sheriff Richard J. Lincoln
Name of Financial Institutionllype of Account 1 1 Mailing Address 1 1.
First Trust & Savings Bank 1024 Springbrook Lane
Mailing Address 1 City 1 1 State 1 1 Zip 1 y
P.O. BOX 220 DeWitt, Iowa 52742
1 1 1 1 Zip 1 1
Phone (563 ) 659-5325
City State

Wheatland, Iowa 52777-0220

:-Mail ricklincoln@mchsi .com
t

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

1 . The committee and all persons connected with the committee understand that they are subject to the laws in laws Code chapters 68A and 68B and the administrative
rules in Chapter 351 of the laws Administrative Code.

2. That Iowa Code section 68A.402 and rule 351-4.9 require the filing of disclosure reports . The failure to file these reports on abefore the required due dates subjects
the candidate or chairperson (in the case of committees outer than a candidate's committee) to the automatic assessment of a civil penalty and the possible imposition of
other criminal and civil sanctions pursuant to Iowa Code section 68B.32A(7) .

3. That Iowa Code section 68A405 and rules 351--4.38 through 4.43 require the placement of the words "paid for by' and the name of the committee on all political
materials except for those items exempted by statute or rule. A committee filing this statementfar purposes of using the shorter "paid for by' and who have not crossed
the $750 shall notify the Board that the $750 threshold will not be crossed .

4. That Iowa Code section 68A503 and rules 351-4.44 through 4.52 prohibit the receipt of corporatecontributions by all committees except for statewide and local ballot
issue PACs .
5. A candidate and a candidate's committee may only expend campaign funds as permitted by Iowa code sections 68A301 through 68A.303 and rule 351-d.25 .

I continue to file disclosure reports until all activity has ceased, committee funds spent, debts resolved, and a final report and a statement of
filed.

t2~3G~~~c~ S
Date Signed

3D`260 S-
Date Signed