—_ [FORM DRoFA | Sammut (Rev. 0172006) Organization 2OTSE 28 AH 9 1 FOR INSTRUCTIONS, SEE BACK OF FORM C1 am fling this form to use the shorter“paid forby” attribution. The committee willnatbe crossing the $750 threshold.” ste commitve crosses the threshokt, n nal OR-1 Statement of Organization must be fled win 10 days ofthe commite's accepting contbutons, ‘molang expenditures, or ncunng ndebledness exceeding $700 In adcaiton, the commie wile required fie campatgn clsciosue reports. “COMMITTEE NAME 1 1 (A candicai's cormrition must ndude fe casiate's Isl name inthe name of he commie) ‘ommitTee fee Ber ARIE Y FE RA NEAT. re Tooralisyor we egmirare. [ZT 7 4 )StatowkdelLagatatveudge Standing for Ratrtion Candia ( PAC (3 State Party (4 YCounky Corral Common {3}eounty Candee (8 ony Candies (7 )Schoo Board or ther Pots! Suodvision Candis {8 County PAC (ony PAC ityschon oan or Oho Poke Subdvsion PAC { 11) Loe Bat sve(etudry commie soted mn magi cylounty bat asus) ‘COMMITTEE TREASURER (mandatory for all committees) ‘CANDIDATE or COMMITTEE CHAIR (mandatory excopt for a ‘acids commit) Ree vene Hansen Ma ie PR LLHARD Tagan BET tamara Se Sw See TL ee EL ta S13 1b Gee TL Poe LE Ww S/BVC prone (A GAL 3067 prove (778_ YZ DEG. Mal —_ eMail benchand € Feces presS- Ve 7 INDICATE PURPOSE OF COMMITTEE ~ Check One Box DY Advocate foogsinstcaneSdates) Advocate for bak sets) ‘Comment or description: Advocate against balot issue(s) ‘Al CanditesEntor: County.cal Candidate nel Local aot Commies Ener: Once Suge _ Political Party (if applicable) Se ac EL rea — ester Date of Election: ‘Yee Sncig fo Secon [STATEMENT OF AFFIRMATION: By fling thie document the commitiee atime te folowing: 1. The commtoe and a persons connected wth he comics vndertand tt yar abject othe awe in ova an ‘les Chapter $81 fhe twa Acree Code bas Pooterceel Cade chapters S8A and G8 and he asminiative 2, That lowe Code secon 68h 405 nrden 3514.0 ough 443 requ the acement fhe won pi for by and he rae fhe commie on ‘materials except for those items exempted by statute or rule. beratdieed oa ae 3, That Coo section 60h 89 andes 361—4.44 trough 4.52 prone recep of carports contador ya comnts except stewie cl Bae 4, That the conmtoe exceeds $750 in campaign acy, & OR-1 Statement of. ust be fled wit 10 commit i equied oe campaign spat campaign acy, Organization | ays and the commie requred toe camoaig Maverrn 27 Jez 7BLE G-Le~ 4 Gio ee