FOR INSTRUCTIONS, SEE BACK OF FORM

CHECK ONE: FORM STATEMENT

M This Is an initial` Statement of Organization DR-1 OF
.}This is an amended` Statement of Organization (REV . 0612005) ORGANIZAT)ON
An initial Statement of Organization must be flied within 10 days of the committee's accepting contributions, For OM ;e Use OniY
making expenditures, or incurring Indebtedness exceeding $750. Amendments must be filed within 30 days or Comm . #
a change. Penalties maybe imposed forlate-filed Statements of Organization. A candidate with an open Indexed ooi
Committee that exceeds 5750 In acUv)ty (or another office shall file within 40 days either a new or amended Audited
DR-1 disclosing information concerning the campaign for the new office sought. Computer r~.

COMMITTEE NAME 1 4

lC
IMPORTANT: indicate type of committee you are reporting for:
( 1 )StatevAdelLegistative(Judge Standing for Retention Candidate ( 2 )Stefwide PAC ( 3 )State Party (4 )County Central Committee
( 6 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political Subdivision Candidate ( B )County PAC (9 )City PAC
t 10 )School Board or Outer Political Subdlvlalon PAC ( 11 ) Local Ballot Issue
COMMITTEE TREASURER (mandatory Will closes) COMMITTEE CHAIR (mandatory exce t for a candidate's committee
Name ~ ~
e I l~ e rrr~l 1'Tora Cc't --c 641.1117)
Mailing Address Mailin Address 1
_ (4 ti h LAL CAu 'QALT :
City, state 1 1 Z ode
~, c:c _ ~a
S'

Phone (319) 33Q-4)40

e-Mall
INDICATE PURPOSE OF COMMITTEE - Check One Box
Comment or description :
All Candidates Enter.
Offlot Sought: District :

Political Party (if applicable) Year Standing for Election:

CountylLocal Candidates and Local SallotJFranchlso Committees Enter.
County! hn serf Date of Election : Oil, a0000

~s ount Name 11 Candidate nom or Parent Endty (PACs. If aoo(iceblgl,

Coo l: :art T V(--eZ.e rt11C sd+C 1 AfellIAte . or SDUn9Qr

P,1-.able Enef^
Name of Financial Institutio pe of Account MaiNrng Address 1 1

-L~3 Wa S-h~ ~.k if `Tq--~ S L*

Mailing Address 1 1

tc

STATEMENT OF AFFIRMATION : 8y filing this document the committee atfirma the foiloWng :

1 The committee and all persons connected with the committee understand that they are subject to the laws In Iowa Code chapters 8i3A and 68B end the administrative
rules in Chapter 351 of the Iowa Administrative Code.
2. That Iowa Code section 88A 402 and rule 351--4 .9 require the filing of disclosure reports and that the failure to fife these reports on or before the required due dates
sub)ects the candidate or chairperson (In the case of committees other than a candidate's committee) to the automatc assessment of a civil penalty and the possible
imposition of other criminal and avii sanctions.
3. That lowe Code section 6SA 405 and rules 561-4 .38 through 4 .43 require the placement of the words 'paid for by and the name of the committee on all political
materials except for those Items exempted by statute or rule. A committee filing this statement for purposes of using the shorter 'paid for by' and who have not crossed
the $760 shall notify the Board that the 5750 threshold wig not be crossed
4 . That Iowa Code section 6BA.803 and rules 351--4.44 through 4 .52 prohibit the receipt of corporate contributions by all committees except for statowkis and local ballot
Issue PAC-%.
5 . A tenth and a candidate's committee may only expend campaign funds as permitted by Iowa code sections 62,.301 through 88,.303 and rule 351--4 .25 .
6 . That th ittee will continue Mle dls*15pure reports until all activity has caused, committee funds spent, debts resolved, and a final report and a statement of
disooluti has bellin file

00&b'oN 00 14)01 AA381 Wdti0 :6 c00 7 'l 'daS

 Attachment,for
Amended Statement of Organization

We are having Co-Chairs of for the "Coalition To Preserve Safe And

Reliable Energy."

The Co-Chairs are Terry Hora and Rebecca Neades.

Terry Hora Rebecca Neades

410 Highland Ave 325 East Washington St
Iowa City Iowa City
Iowa 52240 Iowa 52244-2358
319-330-4140 319-321-9879
Thora@ia .net rneades(a iowacityarea .com

£ 'd £98V'oN 99 14001 A]81 4UNV 0l G000 'f 'das