02/09/2008 08:31 FAX oor FOR INSTRUCTIONS, SEE BACK OF FORM, E ee ven eee TT legal, [d This ton amended Stroment ch Orpanrason 2009 FEB We anh Saramet of Orwneston tte edema toons bw ond esd sede mete ‘nig womndire or sig hdndres oreecn $780,Hrearara a be Bed wor Sete et {changa. Poytis may be npn rare Rad Satna sf gure Aeaseeate nk oo doar ‘corres tat oreo &780 in choy for onebar fe snet ert Te Gee savor aon ec omeroes _ D7 doctor itoeatonconceing te cunpugn iene ae tough vt ‘COMMITTEE NAME 17 (cancione's oxrratte rut nos the candela ibe raft tive cormiiva) ey Hamiton County Repubican Central Commitee IMPORTANT: Indicate type of commitiee you are reporting for | (1 ater agin budge Standing Ir Retrion Cartas [F)Statevkde PAD (3 tae Paty (4 }ounty Canal Common {3 Jeourty Gacleste («ety Candie (7 Yochoo! Board or Cha bale Subabsion Canacute (€Ccarey PAG (2100) Pe chan Board ot Chr Poltcal Suvalon PRC (Th) od Bula ove Gneng comer btve!in tls cece ball isu) _| FEWER oF EGNIZATICN SoMMITEE TREASURER (nancies comnts) COMNTTEE CHAIR (rancor ecto erences comnts) — "eShiile Evans. Ns Bichon ‘ites tert © | | Paeettitee Farr = Wick hy, BRAHOSNb 0205 Welatroly, Baa tobes : Prom (515;_ 882-5324 Prone (515) 261-8890, eau _2tfidaySO@hoimall.com ‘wes dicken @vdke com PURPOSE OF COMMITTEE = Check One Box BI IOICATE ce “Ai Gants Ener ‘ton Sous Potical Party appeal. | patie ‘Year Standing for Eecion: ra coe rama Hamilton County Repubjican Central Commitee ‘Ware of Pancal athabeipe of Acs First State Bank / Checking Account ‘ag Aasrase TI P.O. Box 70 ws ‘Sane TT ae ‘Webster Cy, lowa 50595-0070 [STATEMENT OF AFFIRMATION: By flog wie cocurert bs commie ams th folowing: 4. The commis parsons connctd wth conde unt Bl they a ect he le ore Cos chp A a 8B an tn tien ‘nies Chaper S51 lh ona Aarts Soe, 2, Tha oe Ca ston 8A 2a rue 381-—4.9 mga he log fone apr nia he far Hatha oar ono blo acute de de {blo crate of pen (ne cam of ones ears anes comaiog be antmte cetenron a a per sepa Ingotion ot oareraalond ci echo, | That ove Code wat 6.405 and it 261—-4:38 rough 44 regi the camer! of the way! fr yan nama cl ih earmnat 9 oahr imma capt Thos las expe by sda ote. Acoma ashes tgatrs carbon mae fo" pupouat © eh ther hat Kr at ‘Sect tienda on FS ng reo eal he Poon ER-SPA form eso Eee Foo fonn Ties Cote secon 850 ond 3514.44 gh 482 pate cet tc carta ya enon ee fremem dead eal ab 5. Acantate and a candidate's commitee may ony enon camp fnca a paras by ov cacao SUA.2 though 6UA.203 and a 81-—4.26. That the corte vl conve oS ded apr ua vty hae cmc, onendin fande Spn, atao'A a rge rtterne t se 5 ad