iwda pac_9761_dr1_05-19-2010

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  • 8/7/2019 IWDA PAC_9761_DR1_05-19-2010

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    Generated On: 5/19/2010 10:15:14 AM

    IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2

    DR-1 Statement of Organization

    641-398-2377Phone:

    2400 170th StAddress:

    City: Charles City State: IA 50616Zip Code:

    Iowa White Tail Deer AssociationName:

    E-Mail:

    Parent Entity

    319-882-4777Phone:

    Last Name: Carpenter First Name: Gaylen MI:

    1921 150th St.Address:

    City: Waverly State: IA 50677Zip Code:

    E-Mail: [email protected]

    Committee Chairperson

    641-398-2377Phone:

    Last Name: Landt First Name: Todd MI:

    2400 170th StAddress:

    City: Charles City State: IA 50616Zip Code:

    E-Mail: [email protected]

    Treasurer

    District: 0

    County: NA

    Committee Name: IWDA PAC

    Iowa PACCommittee Type:

    Status: Amended Date: 5/19/2010

    Political Party: Not Available

    Committee Code: 9761

    IWDA PACType: Checking

    Security State Bank610 Gilbert St Charles City, IA 50616 nul-lnu-llnu

    Account Name Bank

    Bank Accounts

    Purpose

    Advocate for/against candidate(s)

    DR-1IndexedAudited

    Computer

    Year Standing for Election: 2009

    Date of Election:

    Office Sought:

  • 8/7/2019 IWDA PAC_9761_DR1_05-19-2010

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    Generated On: 5/19/2010 10:15:14 AM

    IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 2

    Statement of Affirmation By Treasurer and Candidate; or Political Committees, By Chairperson

    STATEMENT OF AFFIRMATION: By filing this document the committee affirms the following1. The committee and all persons connected with the committee understand that they are subject to the laws in Iowa Code chapters 68A and 68Band the administrative rules in Chapter 351 of the Iowa Administrative Code.2. That Iowa Code section 68A.6 and rule 351-4.9 require the filing of disclosure reports and that failure to file these reports on or before therequired due dates subjects the candidate or chairperson (in the case of committees other than a candidate's committee) to the automaticassessment of a civil penalty and the possible imposition of other criminal and civil sanctions.3. That Iowa Code section 68A.14 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.4. That Iowa Code section 68A.15 and rules 351-4.44 through 4.52 prohibit the receipt of corporate contributions by all committees except forstatewide and local ballot issue PACs.5. A candidate and a candidate's committee may only expend campaign funds as permitted by Iowa code sections 68A.40 through 68A.42 andrule 351-4.25.6. That the committee will continue to file disclosure reports until all activity has ceased, committee funds spent, debts resolved, and a final reportand a statement of dissolution (DR-3) has been filed.

    Candidate: Treasurer:(signature and date) (signature and date)