ifapac-iowa_6072_dr1

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  • 8/7/2019 IFAPAC-Iowa_6072_DR1

    1/2

    Generated On: 6/23/2008 8:15:03 AM

    IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 2

    DR-1 Statement of Organization

    515-243-1436Phone:

    431 E. Locust Street, Suite 300Address:

    City: Des Moines State: IA 50309-Zip Code:

    Iowa Association of Insurance & Financial AdvisorsName:

    E-Mail: [email protected]

    Parent Entity

    563-582-6313Phone:

    Last Name: Berger First Name: Martin MI: T

    14858 W. Ridge LaneAddress: Suite 10

    City: Dubuque State: IA 52003Zip Code:

    E-Mail: [email protected]

    Committee Chairperson

    563-582-6313Phone:

    Last Name: Berger First Name: Martin MI: T

    14858 W. Ridge LaneAddress: Suite 10

    City: Dubuque State: IA 52003Zip Code:

    E-Mail: [email protected]

    Treasurer

    District: 0

    County: Polk

    Committee Name: IFAPAC-Iowa

    Iowa PACCommittee Type:

    Status: Amended Date: 6/23/2008

    Political Party: Not Available

    Committee Code: 6072

    NAIFA-IA IFAPAC ACCOUNTType: Checking

    Freedom Financial Bank1255 Jordan Creek Parkway West Des Moines, IA 50266 515--22-3-11

    Account Name Bank

    Bank Accounts

    Purpose

    To promote and strive for the improvement of government by encouraging and stimulating life and health insuranceunderwriters and others to take a more active and effective part in governmental affairs.

    DR-1IndexedAudited

    Computer

    Year Standing for Election: 2008

    Date of Election: 12/30/1899

    Iowa PACs (Non Partisan)Office Sought:

  • 8/7/2019 IFAPAC-Iowa_6072_DR1

    2/2

    Generated On: 6/23/2008 8:15:03 AM

    IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 2 of 2

    Statement of Affirmation By Treasurer and Candidate; or Political Committees, By Chairperson

    STATEMENT OF AFFIRMATION: By filing this document the committee affirms the following1. The committee and all persons connected with the committee understand that they are subject to the laws in Iowa Code chapters 68A and 68Band the administrative rules in Chapter 351 of the Iowa Administrative Code.2. That Iowa Code section 68A.6 and rule 351-4.9 require the filing of disclosure reports and that failure to file these reports on or before therequired due dates subjects the candidate or chairperson (in the case of committees other than a candidate's committee) to the automaticassessment of a civil penalty and the possible imposition of other criminal and civil sanctions.3. That Iowa Code section 68A.14 and rules 351-4.38 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.4. That Iowa Code section 68A.15 and rules 351-4.44 through 4.52 prohibit the receipt of corporate contributions by all committees except forstatewide and local ballot issue PACs.5. A candidate and a candidate's committee may only expend campaign funds as permitted by Iowa code sections 68A.40 through 68A.42 andrule 351-4.25.6. That the committee will continue to file disclosure reports until all activity has ceased, committee funds spent, debts resolved, and a final reportand a statement of dissolution (DR-3) has been filed.

    Candidate: Treasurer:(signature and date) (signature and date)