JAN 17,2006 12 :42A EMILY MCALLISTER 7127372141 page 1

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 . 121_2005)  -J ORGANIZATION
'An initial Statement of Organization must be filed within 10 days offhe committee's accepting contrlburrons. For Office Use Only
making expenditures, or incurring indebtedness exceeding $750 Amendments must be 171ad within 30 days of Comm 0
a change . Penalties may be imposed for tale-feed Statements of Organiz Indexed
committee that exceeds $750 in sofivfy for another once shell ft wifAin 1 Atldrl ed
DR-1 disclosing information concerning the campaign for ft new office sought. Computer
F4 )c
COMMITTEE NAME 1 1 ._ . JAN 17 2006 ...-

Committee to Fleet Coleman McAllister

IMPORTANT: Indicate type of committee you are reporting for :
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2)Statewlde PAC ( 3 )State Party (4 )County Central Committee
(5 )Courtly Candidate (6 )City Candidate (7 )School Board or Other Political Subdivision Candidate (tt )County PAC (9 )City PAC
( 10 )School Board or Other Political Subdivision PAC (11) Loca LBallot Issue
ca MM__ITTEE
~. ._~ . . TREASURER,- ( mandatory for all cammltts+s _C OMMITTEE CHAIR (mandatory excep! roe a candidate's commitle el.
Name - Named - -.
Fmili Mc llister
Mailin Address Mailing Address 1 1
125 ~''rankfort Ave SE
city, state 1 . i zip Code 1 City, State 1 1 zip code ! 1
Orange Cijy - lA 5l04l
Phone (712 1 737-2141 Phone ( )
6-mail coiemangt~orttngecitycomm .net e-mail
INDICATE PURPOSE OF COMMITTEE - Check One Box Advocate roriagainA candidete(s) (3 Advocate for/against ballot Issue(s)
Comment or description -
All Candidates Enter:
Office Sought : Si ouX CountyAttorney - District SiouX (.'aunty
Political Party (It applicable) Republican Year Standing for Election. 2006
CouritylLocal Candidates and Local BallotlFranchise Committees Enter;
Date of Eloction~ Of-Of-OG
Cony Sioux _.

Bank Account Name r 1 Candidate ?rig dross or Parent Ent ity (PACs. if analicatile)
Affiliate, ofSponsor
Committee to Elect Coleman ly(cAllister Coleman McAllister
Narne of Financial Inatitullon/type of Account 1 Mailing Address 1 1
Tows Stale Bank 125 Frankfort Ave SE
Mailing Address 1 1 city : : - State 1 1 Zip 1 1
105 Albany Ave SE Orange City, IA 51041
any 1 1 State 1 1 zip 1
Phone (711 ) 737-2141
W

Orange City, TA 51041

[e_mail coleman(&orangecitycomm .net

STATEMENT OF AFFIRMATION: By tiling this document the committee affirms the following :

1 The committee and all persons connected with the committee urxterstand that they are subject to the laws in Iowa Code chapters 68A and 6813 and the administrm)vo
rules in Chapter 351 of the Iowa Administratiua Coda .
2. That Iowa Code section feA .402 and rule 361-4.9 require the filing of d ;clasure reports . The failure to file these reports on or before the required due dates subjects
the candidate or chairperson (in the ca:o of committees other than a candidate's committee) to the auanatic assessment or a civil penalty end the possible imposition of
other criminal and civil sanctions pursuant to Iowa Code section f6B,32A(7)
3 . That Iowa Code section 6aA 405 and rules 351- 38 through 4 .43 requite the placement d the words -paid for hy' and the name of the committee on all political
materials except far those items exempted by statute or rule A committee filing this 02lomert for purposes d using ft shoner'puid for by and who have not crossed
the 5750 :hall notify the Board that the $750 threshold will not be cross-od
4 That Iowa Code section 88A 503 and rules 351-4 .46 through a 52 prohibit the receipt of corporate contributions by all eonirnMaes except for stilowide and local
issue PACs ballot

5 . A ca"date and a candidate's committee may only cxpcnd campaign hmcft as permimed by Iowa code sections 6aA .301 through 68A 303 and rule 351--4 .25 .
6 That ft committee will Continue to file disclosure report . unbl all acavtty has ceased . commoec finds spent. debts resolved. and a final report and a st3kxrterit of
dissolution (M3) has been filed .

Wre B~grMd

ruro of C014daw OK, kfr all MIN., ,ax+'mimees, Chalrpoma . Us to Signed