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FOR INSTRUCTIONS,

SEE BACK OF FORM


CHECKONE:
Elrnis is an Inltlal'statementof
organization l=::7
! Thisis an amended"Statement of Organization lJxell F_ojm_ll
' Statement mustbe tiled within 10 days of
committee accepting contributions,maning expW Comm.#
incuning debts exceedlng$750. Amendments must be frled within 30 days of a change. Indexed
EfiectiveJanuary1,2010, all stalementsand reportsfiled by new committeesfor state office must be filed
Audited
electronicallyand effectiveJanuary1, 2012,all statementsand reportsliled by all committeesfor state ofice
must be filed electonically.
Effective
COMMITTEENAME J J (A candldate'scommitteemust Includethe candldate'slasl name in the name of ihe committee.)lf amendlngcommitteename,
put old namein ( ). 74 t:

TWEDTFORTREASURER aa F9
G'
er3
::

IMPORTANT:lndlcatetypeof commltteeyouaro reportlngfol L-5 J


( 1)StatewlderleglslatlverJudgeStandlngforRetentlon Candldate (2)StatowldePAC(3)StateParty (4)CountyCentratComm|ttE ffrq
(s)CguntyCandldate(6)CltyCandlqate (7)School BoardorOtherPolltlcalSubdlvlslonCandldate(8)CountyPAC (9)CltyPF ==
( 10)School Bqqrd or qbel PqtltlcalSubdlvlslon PAC ( 11 ) Ballot lssue (lncludlns commltteeInyolved In multlple clwrcountv ball6HssueEl=

COMMITTEE COMMITTEECHAIR

5UN
Aricusrus YE?*r.Jrncrev IP iE
U6UwC$nb*t'nrr- MflBqAqgE*rr cn ,:.l
u tn zipt0ffidr
9[MES" l n,of#6rw
I(EVABd
Phone 1 7 t 2 1
830-35tt Phone1515| 291-0451
o-Mail
jona@kockler.com 6_r\r., bethm@kockler.com
INDICATEPURPOSEOF COMMITTEE- Check One Box g Advocate
for/against
candidate(s)
! Advocatefor ballotlssue(s)
Commentor description: E Advocateaoainstballoi issue(s)
All Candldates Enter: County/Local Candldates and Ballot lssue Commlttees Enter:
Office Sought: UtOry CountyTreasurer
County:
PoliticalParty (if applicable) Republican (lf activein multipleballot issue
District: Dateof Erecrion. 1112110
Year Standinqfo1Elsctlen; 2010
EanK ACCOUnI Nams (must malcn commr[ee name) candroate name u Address or Parent Enutv (PACS.ff aoolicable),
JJ J J Afflllate. or Sponsot
TWEDTFORTREASURER RENEEM.TWEDT
Name of FinancialInstitution/type
of Account J J MaltlngAddress .t J
STATEBANK& TRUST CHECKING 12447GEORGEWASHINGTONCARVERAVE
MailingAddress J + city J.t srateJ t ztp J J
10256TH STREET sToRY C|TY tA 50248
city J J stareJ I zip J J
Phone( 515, 450-1244
NEVADA IA 50201
e_Mait rmtwedt@kockler.com

STATEMENT
OF AFFIRMATION:Ey flllng thls documentthe commltteeafflrms the followlng:

1. Thecommitteeandall personsconnec{€d withthe committeeunderstand


thattheyaresubjectto the lawsin lowaCodochapt€rs6EAand6EBandthe administrative
rulesin Chapter351of the lo\ir€Administrative
Code.
2. ThatlowaCodesection684.402and rule351--4.9roquirethe filingof disclosurereportsandthatthefailureto file thesereportson or beforethe requireddue dates
subjectsthe candidateor chairperson(inthe caseof committeesotherthana candidate's
committee)
to the automaticassessment of a civilpenaltyandthe possible
impositionof othorcriminalandcivilsanctions.
3. ThatlowaCodesection68A.405and rules3514.38 through4.43requirethe placementof lhe words"paidfor bf andthe nameof tho committeeon all political
materialsexceptfor thoseitemsexemptedby statuteor rule. A committeethatwishesto rggiEter a committeenamefor purposesof usingthe shorter'paidfor by' and
doesnot intendto crossthe $750filingthrosholdshallfile the FormDR-SFAformin lieuof filingthisform.
4. ThatfowaCodesecton684.503and rules3514.44 through4.52prohibitthe receiptof corporatecontributions
by all committeesexceptfor ballotissuePACS.
commiteemayonlyexpgndcampaignfundsas permittedby lowacodesections684301 through68A303and rule351<.25.
5. A candidateanda candidate's
6. Thatthe committee
willcontinueto file dlsclosurereportguntilall actMtyhascsased,commltteefundsspent,debtsresolved,anda finalrcportanda statementof

,o/,o
5/' , u-o-u---

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