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JUN-27-2018 0% o7 PM MARK Diana FETTER e4isoas7s1 FOR INSTRUCTIONS, SEE BACK OF FORM! 55-7 9/ Yor? CHECK ONE: This an Initbal* statement of Organization BZ Theis an amended" statement of Organization An ital Statement af Organization should be Nad win 10 days of te comeitee's. sone —4 _conmounone, manng expenditures ar curing ncabtednass axceeding $800. Amendments shoud be ied | COm™.# ‘arin cays change. Peas may be pose rat id Satara of arab —] ‘COMMITTEE NAME (Required by aw) Lama County Republuan nthe Comm be IMPORTANT: inchoate type of commites you ae reporting for: cat * ynetdeh otra Conde (2 uate oouty.on cant enum Pe (8 ane esoranon Sonmaan 1 Yoounyy Gast Conantas {3 uptar ss fcomdais rt cna nan pupees eeu) ‘COMMITEE TREASURER (7?isaccrass used ovat emvncers. —COMMITTER.CHAI (Us dona fers on seperate pase? -omundec et td convapongnen = Tae flat k RACAL Dean C. Fisher aes ialng acre ag ie =P Joe B. stheeT ESP CS. Avlny & iy Sam Be Sac = Bos Tetede Lowe 523 Home Prone( | SVL-VBLI7Z/ ened, eke drewwre Teco ET By ta — Beto Szrun EA Soe HomeProne( | CEA 250 IS PH SY 7-76-35 7. INDICATE PURPOSE OF COMMITTEE - Check One Box (iJ To support or oppose cenciaate(s) C) To suppor or oppose baiiot Issveis) Comment or description: Al Candidates trier: Often Sought Diet: Pomical Paty ( appicabe) Your Sana for Bacto: (CountyfLece! Candliates and Lassi GaiodPranchios Comnilanes Ea (County: Date of Beton: Rank Acoouniname <1 ‘Garside Yama. Araga of Parank i (PAG, Cacia, Lins co. Repeblicer ea Pal Colm om 7 Fare of Fanci roe ot Account tT S-7E PE Beak K€ Tofecto Taating Aéorove IT Malling Address LL lee TT ("Ee See eo Bok 3209 City ‘Sue («TT Bp tt ‘Home Phone ( | ecko nace DA3K2 Prone} ia) CONATED TO 2) OONATED TO _ LOGALAATATENATL POLITICAL PARTYieao re_(7) TRANSFER 79 ANOTHER COMMITTES OF THES SAME CANDIDATE 3 DONATED TO CHAR-TABLE ORGANEATION {CANOIATES OM”) secs) (4) RETURN TO PARENT EATITY GENERAL FUNO (PACH ONLY) 1) CITY COUNTY SEMOQUSTATE OF OWA GENERAL FUND wc seh (OTHER PACA ONL, PLEASE BE SPECIRC 1} PARTISAN CONGAESSIONAL OXSTRICT FUND ‘STAVEMENT OF AFFIRMATION BY TREASURER AND CANDIOATE: OR POLITICAL COMMITTEES, BY CHAINPERBON vam aney nn sn tenses arcs au "becom reser set eernons oars moment ees wd Ns 0 state tr te spa of ot sn care nce cee 180 on tod een rae, “cay bine aaet on Tate oebaere bocigrha ante ray reefer ats heanoane pee PACD ieotow one Se Re ata abate haan tena areata te net ven omnne nessa ee Dart Dune 2S 20/8 Sean a rT ome ‘iqnalra of Candidale or Chalrparaan wt a BACT Date Sree

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