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FOR INSTRUCTIONS, SEE BACK OF FJ4RCEIVED

CHECK ONE : r-ri X


JUL , 4 200
This is an ininar Statement of Organization
That is an amended' Statement of Organization

'An initial Statement of Organlzadon must be bled within 10 days of ft pprrrrrritiea's eooappirq conp,putions.
making oxponditures, or incumnq inoebredness ecceeding $750. Amerximants must be bled within 30 days of
e chanr(je . Penalties may be imposed for fafa-fNud Stelbmont3 of Orgenizoon . A candidate with an open
committees OW exceeds $7501n awvrty for anofr office she# trio within 10 days etthor a new or amended
DR-1 discbmrig information conowrwlg the cempeiyrt for 9v new one sotgnt

COMMITTEE NAME 1 1 (A candidate's oommittee must indde the candidate's last name in the name of the committee)
Karla R Anderson for Palo Alto County Treasurer
pe of committee you are
I 1 )titntnwiddLeglelethrolludga Standing for RetsnHon Candldele (2 *tatev rlde PAC 1 3 )S0tte PeAy ( 4 )County Contrnl Committee
( 5 )County Candidate ( 6 )Chy Candlda e ( 7 )School Board or Other Polibcal Subdivision Candidab ( a )County PAC ( 9 )City PAC
( 10 )School Board or Other Pogdcal SLAxW fon PAC ( 11 ) Local Ballot h isw(including commltfse Involvad In multiple city/county ballot- bauoa)

Name 1 1
Kayra S Weisbrod
Mailing Address 1
1 PO Box 32
City, State 1 1 by Code L
1Cylinder, IA 50528

outrIty

Courtly : Palo Alto _


(If active In multiple belot lawns eletxlorw, attach Itm of couybe

Delta of Ej ection . 11107106

73117 ir'M I z7 :

Karla R Anderson for Palo Afto County Treasurer r


Name of Flnandal In6dtAorAype of Account 1 1
Iowa Trust and Savings Bank

4TATEYENT OF AFFIR111IAIIom : ey filing this doctrmwtt ttte aommltise uinmm vin tollowhy:
' . The committee and all pfes~ connected with the committee urndeffltand that they are 9Ub)ect to M lrwa In 00" 0009 C1160111711 66A any 8N and the administrative
rvroj it Chapmr 351 of the Iowa Admlntubative Cooe
2 . -hat Iowa Code section 63A,402 and rule 351-4 .9 require the filling of diwoeure reports end that the failure to file these reports on or befom the required due dates
aubtech the candidate or (hwirperaan (m the cafe of oormnitteee other than a canoWete's committee) b t)b aulom abc eeeaeament of a tyvll penarty and the poYaDIe
immwhon of deter rJpmmel end civil ttanalong
3 . That Iowa Code Section 08AA05 and rules 361-4 .38 lhiUugh 4 .43 require the placernerri of ne woras - paid nor by' and the name of the committee on an pollhcat
rnilenols except for V"e items exempted by statute or rude . A comminoo that winhee to regISter a aommittoe r~arne for purposes or using the shofr'paid for by' and
does nut intortd to trout the $760 filing threshoid shall file the Form DRSFA brtn .
4 . That Iowa Code owlon eeA.6o3 and ruin 351 -4,44 through 4 .52 prohibitthe r9oaipt of corporals oomributiohs
by all commmaas accept for alstewide mid kxal ballet
issue GAC.9
5 A candidate and a candidate's committee may only expend campaign rinds as permitted by low* oooe sections 68A .301 through 0eA.303 end rule 951--4,25 .
6 That iho ocxnmrttee will continue to file draclosure reporl9 until all activity has owed, eommmee funds spent, debts reootved, and a final report and a statement
draeduti0n 1 OR3) has boon filed of

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