jech, jane 1723

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Form DR-1 Web Reporting System For Office Use Only Comm. # Indexed Audited Computer Statement of Organization Rev. 09/2003 1723 FORM ID Type Status Name d/Amended Date DR-1: Statement of Organization 1723 General Assembly Filed Jane Jech for Iowa House 11/19/2007 Name Address  Primary Ph. Secondary Ph. e-Mail Committee Treasurer Shaurice A. Moorman 2920 130th St. Conrad, IA 50621 (641) 366-3092 (nul) lnu-null [email protected] Name Address Primary Ph. Secondary Ph. e-Mail Committee Chair Jane A. Jech 410 N. 9th St. Marshalltown, IA 50158 (641) 751-7591 (515) 360-7319 [email protected] 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 Iowa Code ch apters 68A and 68B and 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 rep orts and that the failure to file these reports on or before the required due dates subjects the candidate or chairperson (in the case of committees other than a candidate’s committee) to the automatic assessment 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 requir e the placement of the words “paid for by” and the name of the committee on all political materials except for t hose 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 for statewide and local ballot issue PACs. 5. A candidate and a candidate’s committee may only expend campaign fund s as permitted by Iowa code sections 68A.40 through 68A.42 and ru le 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 repor t and a statement of dissolution (DR-3) has been fi led. _____________________________________________ (signature and date) (signature and date) Statement of Affirmation By Treasurer and Candidate; or Political Committees, By Chairperson Treasurer: ______________________________________________ Candidate: Name Address Account Type Account Name Primary Bank Account F & M Bank-Iowa 11 N. 1st Ave Checking Jane Jech for Iowa House Name Address Primary Ph. e-Mail Candidate name & address Jane A. Jech 410 N. 9th St. Marshalltown, IA 50158 (641) 751-7591 [email protected] Office Sought: State Representative District: 43 Party: Republican Year Standing for Election: 2008 County: Marshall Date of Election: 11/4/2008 Purpose Campaign Committe e for electing Jane Jech as the Representative for House District #43 IOWA ETHICS AND CAMPAIGN DISCLOSURE BOAR D | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028

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Page 1: Jech, Jane  1723

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Form

DR-1Web Reporting System

For Office Use Only

Comm. #

Indexed

Audited

Computer

Statement of

Organization

Rev. 09/2003

1723

FORM

ID

Type

Status

Name

d/Amended Date

DR-1: Statement of Organization

1723

General Assembly

Filed

Jane Jech for Iowa House

11/19/2007

Name

Address

 

Primary Ph.

Secondary Ph.

e-Mail

Committee Treasurer

Shaurice A. Moorman

2920 130th St.

Conrad, IA 50621

(641) 366-3092

(nul) lnu-null

[email protected]

Name

Address

Primary Ph.

Secondary Ph.

e-Mail

Committee Chair

Jane A. Jech

410 N. 9th St.

Marshalltown, IA 50158

(641) 751-7591

(515) 360-7319

[email protected]

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 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 the 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 committeeon 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 and rule351-4.25.6. 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 fi led.

_____________________________________________ 

(signature and date) (signature and date)

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

Treasurer:

______________________________________________ 

Candidate:

Name

Address

Account Type

Account Name

Primary Bank Account

F & M Bank-Iowa

11 N. 1st Ave

Checking

Jane Jech for Iowa House

Name

Address

Primary Ph.

e-Mail

Candidate name & address

Jane A. Jech

410 N. 9th St.

Marshalltown, IA 50158

(641) 751-7591

[email protected]

Office Sought: State Representative District: 43

Party: Republican Year Standing for Election: 2008

County: Marshall Date of Election: 11/4/2008

Purpose

Campaign Committee for electing Jane Jech as the Representative for House District #43

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

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Filed/Amended

11/19/2007Committee Accounts

________________________________________________________________________ 

Default

Checking Jane Jech for Iowa House

1 F & M Bank-Iowa

Default Account 11 N. 1st Ave

________________________________________________________________________ 

_________________________________________________________________________________________ 

2:24:55 PM11/21/2007Page 1 of 1 Jane Jech for Iowa House

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Committee Officers

__________________________________________________________________________ 

Filed/Amended

11/19/2007

Role Name and Address

_________________________________________________________________________________________ 

11/21/2007 2:24:55 PMJane Jech for Iowa HousePage 1 of 1

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Filed/Amended

DR-1 Auditors Notes

________________________________________________________________________ 

11/19/2007

_________________________________________________________________________________________ 

11/21/2007 2:24:55 PMJane Jech for Iowa HousePage 1 of 1