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FORM DR-1: Statement of Organization Form Statement of

ID 1723 DR-1 Organization


Type General Assembly Web Reporting System Rev. 09/2003
Status Filed For Office Use Only
Name Jane Jech for Iowa House Comm. # 1723
Indexed
Filed/Amended Date 11/19/2007 Audited
Computer

Committee Treasurer Committee Chair


Name Shaurice A. Moorman Name Jane A. Jech
Address 2920 130th St. Address 410 N. 9th St.

Conrad, IA 50621 Marshalltown, IA 50158


Primary Ph. (641) 366-3092 Primary Ph. (641) 751-7591
Secondary Ph. (nul) lnu-null Secondary Ph. (515) 360-7319
e-Mail smoorman@consumersenergy.coop e-Mail janejech4u@yahoo.com
Purpose
Campaign Committee for electing Jane Jech as the Representative for House District #43

Office Sought: State Representative District: 43


Party: Republican Year Standing for Election: 2008
County: Marshall Date of Election: 11/4/2008
Primary Bank Account Candidate name & address
Name F & M Bank-Iowa Name Jane A. Jech
Address 11 N. 1st Ave Address 410 N. 9th St.

Marshalltown, IA 50158
Account Type Checking Primary Ph. (641) 751-7591
Account Name Jane Jech for Iowa House e-Mail janejech4u@yahoo.com

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


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 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 reports 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 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 for
statewide 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 rule
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 report
and a statement of dissolution (DR-3) has been filed.

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

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028
Filed/Amended
Committee Accounts 11/19/2007
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Default
Checking Jane Jech for Iowa House
1 F & M Bank-Iowa
Default Account 11 N. 1st Ave

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Filed/Amended
Committee Officers 11/19/2007

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Role Name and Address

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Filed/Amended
DR-1 Auditors Notes 11/19/2007

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