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TREASURER
(Cniv Signature of Treasurer or Chairperson) R'fieI
TRACY M . DVORAK
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at me his day ~~Q . 2C:'J f - ~bn Mymber 705162
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IOWA RESIOEWAGENT
PAREW ELI=, AFRUATE, SFCNSOR OF COMMITTEE
f law) Resident Agent (Use separate page if needed to list more than one entity)
Typed Name of iawa Resident Name
KARL KOST MILLWRIGHT LOCAL UNION 2158
Mailirig
1:738 110TH STREET 2707
STREETCOURT62ND
City, State, Zip Code Telephone
IA 52216
CLARENCE,- _L5h 3; 452-355 0, BETTENDORF, IA . 5272C°de
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ALL TREASURER17.1L
;Only signature ciTrea:arer cr Charpersan (T:4e ;Gate)
Ofcal Name of Out-of-Slate Committee (Oo not abbreviate commtttee name . Writtms WtartIcn must be pramded for Acronym .)
MTT ,j R T (',7iT LOC'_ATT :_ TTN ON 2158 PAC #8048
Mailing Address
Z107 62ND STREET COURT
City . State. Zip Code Area Code T'elenhone No.
BETTENDORF IA 52722 _ X55 6 3 ) 332-2158
PURPOSF- OF COMMITTEE:
mn ST773papm op appnap SSTTx'S rS}NrF'.RN-''."fir, oRrANT 7,F.D
LABOR OR TO SUPPORT CANDIDATES FAVORABLE TO ORGANIZED LABOR
9/ 10
W-4~ TREASURER
(Only Signature arTreasure- orCnairperscn) _ - (f ;f.e) pA S 1
Commission Number 705162
MV Commission Expires
Natarv Ftitilc
ICVIA E i ?^WS AND CAWAlGN DISCLOSURE EGARID i'Jrm
514 EaST LOCUST, SUITE.104 veiiFHD STATc:IAENT
REGISTRATICN
DES ",MOINES, #A 50309-1912 (Cutter-z-tate Ccmmltteesj
(Rev . :100)
VERMED S -1 ATE ENT RiGIST. TIO'N I
i For office use oniv
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(Cut-of-state Committee) COMM*
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Indexed
CCMMri -i=S NOT ORGANIZED IN IOWA TO COMPLE7E IN OUPLIUTE.
SE~10 ORIGINAL CDPY TO 7HE BCARD AND Audited
ONE COFY ATTH EACH'CCNTZr IBU7CN TO TEiE iCWA CCMMrr7= Checked
FLEA-SE REFER TO OEiALHD INSTRUCT.CNS ON aACt OF FORM.
C.Jmputer
COMMITTEE NAME
Offc a1 Name of Out-of-State C=mittee (Do not abbreviate committee name. Written expianaucn must be provider! for Aaanym .)
MTLLW8IGXT T~QCAT, L3NT ON 2158 PAC #8048
Mailing Address
7107 62ND.--STREET COURT
City, State, Tip Code Area Ccde Telephone No.
BETTENDORF 1A 52722 5. 6 3
(5 ) 332-2158
PURPOSE OF COMMITTEE:
LABOR OR TO SUPPORT-CANDIDATES FAVORABLE TO ORGANIZED LABOR
TREASURER
(Only Signature oiTrea.um+ or Cbairperscn)