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na M07 SEr 27 AH 9:56 FOR INSTRUCTIONS, SEE BACK OF FORM ETHICS AND 7 OF PI FORW DR-SFA (Rev. 01/2006) Tren | Statement of Organization aid For By Gorm # Indexed usted Computer 1 1am fling this orm to use the shorter “paid for by atinbution. The committee wi na} be crossing the $750 threshold * “the committee crosses the threshold an ital DR-1 Staternat of Organization must be fled within 10 days ofthe comrnitee's accepting contibutons, ‘making expenditures. or ncuring mdebtedhess exceeding 3730 In addon the commitee wil be required to Re campag decieeure repr, COMMITTEE NAME 1 1 (A candidates commtiee must inaudo tv candiaie® lad name ibe name ofthe coramimine) (1 )StatewidelLegislative/Judge Standing for Retention Candidate {7 )Statewide PAC (3 )Stale Party (4 )County Central Committee {3 }eounty Candidate (6 Yony date (7 )Sehoo! Board or Oder Poles Subdnision Candidate (@ }Gaumty PAC 9 )elty PAG (40 )Schoo! Board or Other Political Subdivision PAC (11) Local Ballot Issue(nctuding commitie Involved in multiple ey/county ballot issues) ‘COMMITTEE TREASURER (mandatory forall committees) CANDIDATEor COMMITTEE CHAIR (mandatory except fora ‘candidate's committee) Nore TT Michae/ E. Cx lauan Mee 7 Miewaee E Caecanant Moara sess TT 25 Aly Th Shae Wroe Manno hasress Th alonni Sucee Le. OP foley PER, Tow, Sevag | [WT woe ig sone Prone (G4h__I57-59/ rrone (6 th)_3ST- 541 ent MCC? Yet irs e7— emt meee @ Aetns net INDICATE PURPOSE OF COMMITTEE ~ Check One Box Comment or deserptio 90h le Michee Potcal Paty (fappicabie) ist: Year Standing for Election: __ ROO 7 ‘Advocate friagairstcaraistets) C] Advocate for bl iesua(s) Advocate again! bait seue(e) alle. ausaadinter tote 1, Counc AY Lexge) a eee County. Candidates and Local Ballot Commies Enter: ouny Gord? (ae al A an SSC ENT COST Date of Election: -06 -07 STATEMENT OF AFFIRMATION: By ling tis document the coment aims the following 1, de commits and a persons connecie vith he comm understand thal they are sbject othe lv in avs Code chapors 68A and 688 and the axminsatie ‘agin Ghapier 3st the tne Admntatne Code 2_Thal owt Code sation 684 408 and ule 3514.38 hough 443 tequiethe placement he vols “pa for by andthe name of the commie onal posical Imatrlsexcopt or hace tome exempta by ale or ae 3, Tet lou Code section 688503 and rubs 351—4 44 hough 652 prohibithe cep of corporate crtibtions by al committees excep for sence ca alt inne PACs 4 Tatif te commiowexcomds $750 in campaign acthiy.@OR- Statement of Oxganzaton must be fled wan 10 days andthe commie is requ oe campaign Sosre repos P-Pb-07 oo 9-H? ie

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