Northey, William Amendment 5123

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FORM DR-1: Statement of Organization Form Statement of

ID 5123 DR-1 Organization


Type Statewide Candidate Web Reporting System Rev. 09/2003
Status Amended For Office Use Only
Name Northey for Iowa Agriculture Comm. # 5123
Indexed
Filed/Amended Date 12/10/2007 Audited
Computer

Committee Treasurer Committee Chair


Name Jeff Smith Name Tim R. Frank
Address 1006 Brooks North Lane Address 14 East 4th St.

Okoboji, IA 51355 Spencer, IA 51301


Primary Ph. (712) 337-4243 Primary Ph. (712) 262-6674
Secondary Ph. (712) 320-2679 Secondary Ph.
e-Mail j.jsmith@mchsi.com e-Mail tim@teamem.com
Purpose
Republican candidate for Secretary of Agriculture

Office Sought: Iowa Secretary of Agriculture District: 0


Party: Republican Year Standing for Election: 2006
County: Scott Date of Election:
Primary Bank Account Candidate name & address
Name First Bank and Trust Name William H. Northey
Address 3307 Hwy 71 S. Address 2868 140th Street

Spirit Lake, IA 51360


Account Type Checking Primary Ph. (712) 336-5561
Account Name Northey for Iowa Agriculture e-Mail bill@billnorthey.com

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


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

1. The committee and all persons connected with the committee understand that they are subject to the laws in Iowa Code chapters 68A and 68B
and 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 the failure to file these reports on or before the
required due dates subjects the candidate or chairperson (in the case of committees other than a candidate’s committee) to the automatic
assessment 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 for
statewide 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 and rule
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 report
and a statement of dissolution (DR-3) has been filed.

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

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028
Filed/Amended
Committee Accounts 12/10/2007
__________________________________________________________________________________
Default
Checking Northey for Iowa Agriculture
1 First Bank and Trust
Default Account 3307 Hwy 71 S.

___________________________________________________________________________________

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Filed/Amended
Committee Officers 12/10/2007

___________________________________________________________________________________

Role Name and Address

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Filed/Amended
DR-1 Auditors Notes 12/10/2007

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Page 1 of 1 Northey for Iowa Agriculture 12/14/2007 9:03:36 AM

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