FORM DR-1: Statement of Organization Form ‘Staternent of Io 2147 IDR-1 Organization] ‘Type Local Ballot Issue Committee |Web Reporting System __ Rev. 09/2003 Status Filed For Office Use Only Name BUILDING ON TRADITION Comm. # 21477 Indexed Filed/Amended 9127/2007 JAudited Dato Computer ‘Committee Treasurer Name SUSAN L. LOGSDON ‘Address PO BOX 171 Committes Chair Name DAVE AMICK Address PO BOX 34 LAWTON, 1A 51030 Primary Ph. (712) 944-5534 ‘Secondary Ph. (742) 253-6473 e-Mail susan.l-logsdon.iOur@statefarm.com Purpose VOTE YES FOR BOND ISSUE ON NOVEMBER 13, 2007 BRONSON, IA 51007 Primary Ph. (742) 253-0580 ‘Secondary Ph. (nul) Inu-null e-Mail dsherrif@netins.net Office Sought: Party: Count District: Year Standing for Election: Woodbury Date of Election: Primary Bank Account PAC Parent Entity, Affliate or Sponsor Name VANTUS BANK Name ‘Address 329 PIERCE ST Address ‘sioux city, 1A 51101 ‘Account Type Checking Primary Ph. Account Name BUILDING ON TRADITION e-Mail ‘Statement of Affirmation By Treasurer and Candidate; or Political Committees, By Chairperson STATEMENT OF AFFIRMATION: By fling this document the commit arms the folowing: 1. The commitos anda persons connected with the commits understand that hey are subject to the laws in lowa Code chapters 6BA and 688, {and the administrative rules in Chapter 351 ofthe lowa Aaminitratve Code 2 That iowa Code secon 68A 6 and rle 351-49 rquie the fing f dscosure reports and tha he fret le these reports on or before the ‘equ due dates subjects the candidate or chaxporson nth eabeof con to he automate ‘sessment ofa cv penalty and the passbia mpastion of othe oiminal and cil sanctions 23. That lowa Code secon 88A 14 and rules 351-438 through 4.43 requ te placement ol tho words “pal for by” and the name ofthe commit ‘on al poiial materia excpt fr those toms exompod by state rfl, 41 That lowa Cade secon SSA 15 and les 351-144 trough 4.52 pron the reclg of corperatecontibutons by al commitlees except for Siatowido and tocal ballot ssue PACS 5, A candidate anc a candidate's cmmitoe may only expend campaign funds as permited by oa code sections 684.40 through BBA 42 and le asteas. 6, Thal the comittos wil conticue to ile disclosure reports unt al actly has ceased, commites funds spent debts resolved, and a nal report {and 2 statment of dssaluon (OR. 3} ha Boon ied. Chair Person: (signature and date) Treasurer: (signature and date) IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES. 1A 50919 | (515) 281-4028