Ficken, Gene 1719

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F OR I NSTRUCTI ONS, S E E BACK OF F ORM CHECK ONE : PM /O-/ $ , This i s a n initial* St a t e me n t of Or g an i z a t i o n This i s a n amended* Statement of Organization * A n initial Statement o f Organization must b e filed within 1 0 days o f t h e committee'saccepting contributions, ma k i n g expenditures, or incurring indebtedness exceeding $750 . A me n d me n t s mu s t b e filed within 3 0 days o f a change Penalties ma y b e imposed f o r late-filed Statements o f Organization . A candidate with a n open c o mmi t t e e that exceeds $750 i n activityfor another office shall file within 1 0 days either a n e w o r amend ed DR- 1 disclosinginformation concerning t h e c a mp a i g n f o r t h e n e w office sought . COMMI TTEE NAME ~ 1 ( A candidate's c o mmi t t e e must includethecandidate's last name i n t h e name of t h e c o mmi t t e e . ) Gen e Fi cken f o r State Representative I MPORTANT : Indicate type o f commi t t ee y o u arereporting f o r : ( 1 )Statewide/Legislative/Judge Standing f o r Retention Candidate ( 2 )Statewide PA C ( 3 )State Party ( 4 )County Central Commi t t ee ( 5)County Candi dat e ( 6 )City Candi dat e ( 7 )School Board o r Other Political Subdivision Candidate ( 8 )County PA C ( 9 )City PA C ( 10 )School Board o r Other Political Subdivi sion PA C ( 1 1 ) Local Ballot Issue (including commi t t ee involved i n mu l t i ple city/county ballot issues) C OMMI T T E E TREASURER ( ma n da t o r y f o r a l l c o mmi t t e e s ) N . d me ~ ames . Pe t e r s g k d i Rp ' a e ' eldef Sce,~A C8 & 4 ~ Phone ( 319) 3 34-9992 e-Mail )tplawoffjce@yahoo . c o m I NDI CATE PURPOSE OF COMMI TTEE - Check On e B o x 0 Comme n t o r description : A l l Candidates S^ a f e Re p r e s e n t a t i v e Office Sought Political Party ( i f applicable) Democr at District 2 3 (ear Standing f o r Election : 2008 Bank Account Na me Gene Ficken Fo r State Re p r e s e n t a t i v e Name o f Financial Institution/type o f Account Ve r i di a n Cr edi t Un i o n Mailing Address P OBox 6000 City L , I Waterloo, IA 50704 State . I 1 Gene Fi cken Mailing Address 1 1827 2 1 8t h St r e et STATEMENT OF AFFI RMA T I ON : By filing this document t h e comm i ttee a f f i r ms thefollowing ignature o f 7rgd~qurer 1 1 1 Reset Forte FORM STATEMENT DR- 1 o f ( Re v 01/2006) ORGANI ZATI ON Fo r Of f i ce Us e nl Comm. # Indexed Audited Comput er C OMMI T T E E C HA I R ( ma n da t o r y except f or a candidate's c o mmi t t e e ) V%4 I I 4 Ficken Ci Wd pa~n4e~ ce,I A' i ~6644 Phone ( 319-) 3 34-4905 I e-Mail Advocate for/against candidate(s) L l Advocate forballot issue(s) Advocate against ballot issue(s) County/Local Candi dat es a n d Local Ballot Commi t t ees Enter : County : Buchanan ( I f active i n mu l t i p l e ballot issue elections, attach list of counties Date o f Election : 11-2008 Candidate name &Address o r Parent Entity ( PACs . i f applicable), 1 I Affiliate, o r Sponsor City I ~ State 1 . I Independence, I A 50644 Phone ( 3 1 9 ) 3 34*4903 e-Mail geneficken@gmail . c o m Signature o Candidate, , o r a l other committees, airperson - - Date Signed 1 . T h e c o mmi t t e e a n d a i l persons connected with t h e c o mmi t t e e understand that they a r e subject t o t h e l aws i n Iowa Code chapters 68 A a nd 6813 a n d theadministrative rules i n Chapter 3 5 1 of t he Iowa A d mi n i s t r a t i v e Code . 2 That Iowa Code section 6 8A .402 an d rule 351-4 . 9 require t h e filing o f reports a n d that t h e failure t o file these o n or before therequired d u e dates subjects t h e candidate or chairperson ( i n th e case o f c o mmi ttees other than a candidate's c o mmi t t e e ) t o t h e a u t o ma t i c assessment o f a civil penalty a n d th e possible imposition o f other criminal a n d civil sanctions 3 That Iowa Code section 6 8A .405 a n d rules 351-4 .3 8 through 4.43requirethe placement of t he words "paid f o r b y " a n d t h e name o f t h e c o mmi ttee o n a l l political materials except f o r those i t e ms exempted b y sta tute or rule . A c o mmi t t e e that wishes t o register a c o mmi t t e e name f o r purposes o f using t h e shorter "paid f o r b y " a n d does notintend t o cross t h e $750 filing threshold shall file t h e Form D R- SFA form . 4 That Iowa Code section 6 8 A .503 a n d rules 351-4 .4 4 through 4 .52prohibitthe receipt o f corporate contributions b y a l l c o mmi t t e e s except f or statewide and local ballot issue PACs . candidate's c o mmi t t e e ma y only expend campaign funds a s permitted b y Iowa codesections 68 A .301 through 6 8 A .303 a n d rule 351-4 . 2 5 will continue t o filq,~closure reports until a l l activity has ceased, c o mmi t t e e funds spent, debts resolved, a n d a final report a n d a s t a t e me n t o f ee n filed .

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FOR I NSTRUCTI ONS, SEE BACK OF FORM

CHECK ONE :PM / O - / $ ,

T h i s i s a n i n i t i a l * St a t e me n t o f Or g an i z a t i o nT h i s i s a n a m e n d e d * S t a t e me n t o f Or g a n i z a t i o n

* A n i n i t i a l S t a t e me n t o f O r g a n i z a t i o n mus t b e f i l e d w i t h i n 1 0 d a y s o f t h e c o mm i t t e e ' s a c c e p t i n g c o n t r i b u t i o n s ,

ma k i n g e x p e n d i t u r e s , o r i n c u r r i n g i n d e b t e d n e s s e x c e e d i n g $ 7 5 0 . Amen dmen t s mu s t b e f i l e d w i t h i n 3 0 d a y s o f

a c h a n g e . P e n a l t i e s ma y b e i mp o s e d f o r l a t e - f i l e d S t a t e m e n t s o f O r g a n i z a t i o n . A c a n d i d a t e w i t h a n o p e nc o mmi t t e e t h a t e x c e e d s $ 7 5 0 i n a c t i v i t y f o r a n o t h e r o f f i c e s h a l l f i l e w i t h i n 1 0 d a y s e i t h e r a n e w o r amend ed

DR- 1 d i s c l o s i n g i n f o r ma t i o n c o n c e r n i n g t h e c a mp a i g n f o r t h e n e w o f f i c e s o u g h t .

COMMI TTEE NAME ~ 1 ( A c a n d i d a t e ' s c o mm i t t e e mu s t i n c l u d e t h e c a n d i d a t e ' s l a s t name i n t h e name o f t h e c o mm i t t e e . )

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( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n Ca n d i d a t e ( 2 ) S t a t e w i d e PA C ( 3 ) S t a t e P a r t y ( 4 ) C o un t y C e n t r a l Co mmi t t e e( 5 ) C o u n t y Ca n di d at e ( 6 ) C i t y Ca n di d at e ( 7 ) S c ho o l Bo a r d o r O t h e r P o l i t i c a l S u b d i v i s i o n Ca n d i d a t e ( 8 ) C o un t y PA C ( 9 ) C i t y PA C( 1 0 ) S c h o o l Bo a r d o r Ot h e r P o l i t i c a l S u b d i v i s i o n PA C ( 1 1 ) L o c a l B a l l o t I s s u e ( i n c l u d i n g c o mmi t t e e i n v o l v e d i n mu l t i p l e c i t y / c o u n t y b a l l o t i s s u e s )

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1 . T h e c o mmi t t e e a n d a i l p e r s o n s c o n n e c t e d w i t h t h e c o mm i t t e e u n d e r s t a n d t h a t t h e y a r e s u b j e c t t o t h e l a w s i n I o w a Code c h a p t e r s 6 8 A a n d 6 8 1 3 a n d t h e a d m i n i s t r a t i v e

r u l e s i n C h a p t e r 3 5 1 o f t h e I o w a A d mi n i s t r a t i v e C o d e .

2 T h a t I o w a C o d e s e c t i o n 68A . 4 0 2 a n d r u l e 3 5 1 - 4 . 9 r e q u i r e t h e f i l i n g o f d i s c l o s u r e r e p o r t s a n d t h a t t h e f a i l u r e t o f i l e t h e s e r e p o r t s o n o r b e f o r e t h e r e q u i r e d d u e d a t e s

s u b j e c t s t h e c a n d i d a t e o r c h a i r p e r s o n ( i n t h e c a s e o f c o mmi t t e e s o t h e r t h a n a c a n d i d a t e ' s c o mmi t t e e ) t o t h e a u t o ma t i c a s s e s s m e n t o f a c i v i l p e n a l t y a n d t h e p o s s i b l e

i m p o s i t i o n o f o t h e r c r i m i n a l a n d c i v i l s a n c t i o n s

3 T h a t I o w a C o d e s e c t i o n 68A . 4 0 5 a n d r u l e s 3 5 1 - 4 . 3 8 t h r o u g h 4 . 4 3 r e q u i r e t h e p l a c e me n t o f t h e w o r d s " p a i d f o r b y " a n d t h e name o f t h e c o mmi t t e e o n a l l p o l i t i c a lm a t e r i a l s e x c e p t f o r t h o s e i t e ms e x e mp t e d b y s t a t u t e o r r u l e . A c o mmi t t e e t h a t w i s h e s t o r e g i s t e r a c o mmi t t e e name f o r p u r p o s e s o f u s i n g t h e s h o r t e r " p a i d f o r b y " a n dd o e s n o t i n t e n d t o c r o s s t h e $ 7 5 0 f i l i n g t h r e s h o l d s h a l l f i l e t h e F o r m DR- SFA f o r m .

4 T h a t I o w a C o d e s e c t i o n 68A . 5 0 3 a n d r u l e s 3 5 1 - 4 . 4 4 t h r o u g h 4 . 5 2 p r o h i b i t t h e r e c e i p t o f c o r p o r a t e c o n t r i b u t i o n s b y a l l c o mmi t t e e s e x c e p t f o r s t a t e w i d e a n d l o c a l b a l l o t

i s s u e PACs .

c a n d i d a t e ' s c o mmi t t e e may o n l y e x p e n d c a mp a i g n f u n d s a s p e r m i t t e d b y I o w a c o d e s e c t i o n s 68 A . 3 0 1 t h r o u g h 6 8 A . 3 0 3 a n d r u l e 3 51 - 4 . 2 5

w i l l c o n t i n u e t o f i l q , ~ c l o s u r e r e p o r t s u n t i l a l l a c t i v i t y h a s c e a s e d , c o mmi t t e e f u n d s s p e n t , d e b t s r e s o l v e d , a n d a f i n a l r e p o r t a n d a s t a t e me n t o fe e n f i l e d .