FOR INSTRUCTIONS, SEE BACK OF FORM FORM ‘STATEMENT FRECK ONE: DR-1 ve 7 “This is an inttial* Statement of Organization Rev. 1 ORGANIZATION FR mint sere opm eran ono De eri Cre tN ce mga EN [EES jee te crate rr oxen age coer Exaumrcrmnimsancere |i Soha nyo nema ay a emt ‘must be filed electronically. [Computes flcive May 1, 2010, all statements and reports foc Stale PACs and State Parties must be fed elecronicaly. COMMITTEE NAME 1 1 (A candidate's committee must incude te candidate's last name in te name ofthe commits) W amending Gonmiioe ame, mam DEAR Cunt DEmocpatic PKRTY CentenC Commitee TAPORTANT lap ao you ws pone OE TBE] (1 )StatowiderLagisatve/Judge Standing for Ratonton Candidate (72 )Statowide PAC (3 )Stato Party nty Central Common (S}county Canckdato (6 )Cty Candidete (7 }School Board or Other Political Subdivision Candats { Board or Gtber Poli! Subalvaton PAC {71 Sat eeu ning commsee eatos arte COMMITTEE TREASURER fort Gomes COMMITTEE CHAIR mandsor except fora candidat's commits) [Rome TC cp eno focanscommes) cow peel &. Jones Nave TT Doug Sons, iva Raeess SS) Rox 3b watroraaees 53/0 CondiT DPWE Sate TY Fp covet OW Gy 11 “Fp oe TT ALatens Te SiO Pm A Soi¥o Phone (WHYL3-F2V Y Phone ( 4) 28 £-8Y8Y_ entai_/a moni lavyer(® hatred com a doug © hdheat Gwe INDICATE PURPOSE OF COMBMTTEE ~ Chock Ons BOX Asoo sgand Coons TY Meas x SST Comment or description 5 Advocate gat bone eve) Taras Ener unio Catan on tis Commins ER Once Some oa Postal Party appeal) (4 actre RIR TSS SES,a TaTOSIGE Dretret: Date of Election: Yea Snag fr Eso ‘Bank Account ame, (mt AEH Commie aay ‘Cana pane A Areas vt vt ‘Alisa or Sooneer = = Tame of Facial iaiionpe oT Rxoant TT ialing hares TT = 8 aang ratroas TT wt Sao TT = wt Be TI eI | oF = 3 | [itt ce ‘STATEMENT OF AFFIRMATION: By ling thie document the commie fim the following 4,7 commit ad a parsons connected win he commatee understand tal hey ae subject 1 the ows in ova Cade chapters 5A end 688 and the amilstratve ‘een Chapter 351 ofthe owe Acmnaatve Code 2. Tat ova Code ston 694402 ad nde 3514.0 req te ing of ectosure rpors ae tha the fake oe these reps on or befor te roqured du dates _utjocs the canate or atperson (me case of cormties ter Tan a cancicates commits) ote outa sevosshert oa i pot and a oot 23. Tat lowe Code secon 68A 405 and ules 351438 trough 4.43 rqute the placement of he words pei fr by” and he name of he commits onal pola ‘males exept or thowe fr exerted Dy sat ore. A corvnites Pat wishes 1 regia Commitee nar Or purpone of verge sate sels coy ad oes rot hend to eros the 8750 Ring Uweahol sha fe the Form DASA form ne oh ang fis mn ‘4. Thattowa Code seton 88403 and nes 251—4 4 trough 4.52 prot the recep of corporate contrbons by all commie exp for blot se PACS. ‘5. Rcanccte and candcate's commen may only expend crosign finds as pert by lowe code sections G2A.01 trough 6A 203 andr 51—4 2, 8. Tat the commitoe vl continue Ne closure reports unt al actly has ceased, commie funds spent, debts reecve, and a al repo an eaten ot