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FAX N0, 15152423966 P, 02

JUN-14-05 TUE 03 ; 28 PM MIDAMERICAN ENERGY

FOR INSTRUCTIONS, SEE BACK OF FORM


CHECK ONE : FORM -STATEMENT
lvJ This is an initial" Statement of Organization DR-1 I OF
(J This is an amended' Statement of Organization (REV, 0512005) ORGANIZATION
An initial Statementof Organhetlon must be riled within 10 days of the committee's accepting contributions, For Office Use Only ~/
making expenditures, or Incurring indebtedness exceeding $750. Amendments must be (led within 30 days or Comm .
o change. Penalties may be imposedforlate-filed Statements of Organization. A candidate with an open Indexed
committee that exceeds $750 in activity foranother aft* shallfile within 10 days either a new or amended Audited
DR-1 disclosing irtforma(ion conceming the campaign for the new ode sought. 'Computer _ -

COMMITTEE NAME b y -

Keep MidAmerican Energy Serving Mapleton


IMPORTANT : Indicate type of committee you are reporting for: L-1-1
(1 )Statswide/Legialative/Judge Standing for Retention Candidate ( 2 )Statewide PAC (3 )State Party (44County Central Committee
(S )County Candidate (6 )City Candidate (7 )School Board or Other Political Subdivision Candidate ( 8 )County PAC ( a )City PAC
(10 chool Boa rd or Ot her Political Subdivision PAC (11 ) Local Ballot Issue
COMM ITTEE TREASURER (mandatory for all committees COMMITTEE CHAIR nsnn"Tito except for a candidate's committee)
Name Name y
Kristin Kllsmith Mark Nlbaur
tolal~c~drots y 1 Mellin Address
223 Yo= Street _
city, state J. `'Y Zi Code y ,b City, state y J. Zip Code y b
Des Moinos IA 5003 Sioux City, IA 51110

Phone ( 515 ) 252-6783 Phone ( 712 ) 233-4870

e-mail kdklismith@mldarnehcan .com menibaur@rnidamerican .co m


e-mail
INDICATE PURPOSE OF COMMITTEE - Check One Box Advocate forlagainst candidate(s) Advocate for/against ballot I6aue(s)
Comment or d escription :
All Candidates Enter:
Office Sought :
District :

Political Party (f applicable) Year Standing for Election :


County/Local Candidates and Loral Ball ot/Franchita Committees Enter:
Date of Election : _ November 8, 2005
County : Monona

Bank Ac0
. Unt ma b Z Candidate name & Address or Parent Entity (PACs, ifaaaG eablo
y Affiliate,,gr Sponsor
Only general funds of the pare nt organization used , MidAmerican Energy Company
Name of Financial Institutioriltype of Account y 1 Mailing Address .t
no separate bank account opened Box 657
Mailing Address y !. City ~. y State b ). Zip
Des Moines, IA 50303
city y y State y y - ZJp 1 252-6783
Phone (515 )

e-mail

STATEMENT OF AFFIRIUIATION: By filing this document the committee affirms the following :

1 . The committee and all Persons connected with the committee understand that they are sub)ect to the laws In Iowa Code chapters 6BA and 88B and the administrative
rubs In Chapter 351 of the larva Administrative Code.
2 . That Iowa Code section 68A .402 and rule 351--4,8 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 On the case of committees other than a candidate's committee) to the automatic assessment of a civil penalty and the possible
Imposition or other crimlnel and civil sanctions.
3 . That Iowa Code section 68A .405 and rules 351-4,38 through 4 .43 require the placement Who words "paid for Wand the name of the committee on all political
materials except for those Items exempted by stahhlbe or rule. A committee filing this statement for purposes of using the shorter "paid for by" and who have not crossed
the 5750 shall notify the Board that the $750 threshold will not be crossed,
4 . That Iowa Code section 68A .503 and rules 351-4.44 though 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 .301 through 68A.303 and rule 351--4 .25 .
6 . That the commlfs will coritinuo to file disclosure reports until all activity hat ceased, committee funds spent, debts rosohred, and a final report and a statement of
dissolrtlon . (DR3) has been filed,

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