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FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE- FORM I STATEMENT
(- This Is an Initial' Statement of Organization
It_~ls Is an amended' Statement of Organization
'An Inklai Statement of Organkatlon must be !liedwithin 10 days of the commNee's accepting contributions,
DR-1
(REV . 05/2005)
For Office Use Onty
I OF
ORGANIZATION
making expenditures, or incurring indebtedness axceadlng 5750 . Amendments m
e change. Penalties may be Imposed forlate-Iliad Statements of O a
within 30 days of
lth an open
Comm . f
Indexed r n
1262 7
committee that exceeds $750 in activity for smother =_j0s_tr s or amended Audited
OR-1 diackwng information concerning the campalpinJor
Computer rjfy1

COMMITTEE NAME 1 1

Hanafan For Mayor

IMPORTANT: indicate type of committee you are re
( 1 )StateNtds/La9IalatfVNJUdgs Standlnp for Katentl
( 6 )County Candidate ( ti )City Candidate ( 7 )School
10 )School Board or Other Political Subdivision PAC 11
COMMITTEE TREASURER (mandatory for all committees)
a-PAC (3 )State Party (4 )County Central Committee
er Political Subdivision Candidate ( 8 )County PAC ( 0 pity PAC
Local 9allot Issue
COMMITTEE CHAIR mandator

City, State 1 1- -zip- e 1

~__I1n~ _B 1r, fsLTA 51503

All Candidates Enter:

Office Sought : ayor of Council Bluffs
Political Party (if applicable)
County/Local Candidate's and Local BallotFranchise Committees Enter:
205
Na ets-$_--2005
County : fottawattatiiie
<2t--'
)<

*Hanafan For Mayor TTuxnas P . Hanafan

Name of FinancieI InatitutiorAype of Account Mailing Address 1 1

US Bank Checking 104 Norwood Drive

_1 1
Mailing Address 1 1 City 1 1 State 1 VP
421 West Broadway Council Bluffs 51503

Zip 1 1
Phone (712 ) 322-4746
51503
e-Mail

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 SBA and 68B and the administrative
rules in Chapter 351 of the lows Admlnistrattve Code .
2. That love Code sermon SMA022 and ruts 351---4 .9 require the Aling of disclosure reports and that the failure to file these reports on or before the required due dates
subiecfa the candidate or chairperson (n the case of committees other than a candidate's committee) to the automatic assessment of a civil penalty and Ow possible
Imposition of other cArrtinal end cMll sanctions,
3. That Iowa Code section t38A.405 and rules351--4.38 through 4 .43 requite the placement of the words 'paid for by' and the name of the committee on all polaical
materials except for those Rams exempted by statute or rule, A committee filing this statement for purposes of using the shorter -paid for by' and who have rat crossed
the 3750 shall notify the Boardthat the $750 threshold will not be crossed,
4. That Iowa Code section A8A.503 and rules 3131-4.44 through 4,52 prohibit the recolpt of corporate contributions by all committees except for sfatawide 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.301 through 884.303 and rule 351 -4.25.
6, That the commteae will condrwe to fie disclosure reports until all acWlty has tossed, committee fundsspent, debts resolved, anda final report and a statement of
dissolution PR-3) has been filed,

Aa rh arQ slue er rea }rrer