User:
Independent Expenditure
This form may not be used by a candidate, candidate’s committee, or a political
committee.
Individual Making the Expenditure
This expenditure expressly advocates:
Expenditure Details
* = Required
Review the Terms of Agreement
Criteria to use this form:
- An independent expenditure in excess of $1000 in the aggregate to expressly advocate
the nomination, election, or defeat of a candidate or the passage or defeat of a
ballot issue
- Independent expenditure complies with the attribution requirement of Iowa Code section
68A.405
Statement of Certification
I affirm that the independent expenditure reported above is accurate. I also affirm
that this expenditure was made without the prior approval or coordination with a
candidate, candidate’s committee, or a ballot issue committee. I affirm I was the
only individual who paid for the costs of this expenditure. I understand that by
filing this form, I am subject to the campaign laws in Iowa Code chapter 68A and
rules in chapter 351 of the Iowa Administrative Code. I also understand that the
failure to timely file this form leads to the imposition of civil penalties and
the intentional failure to file this form may lead to additional civil and criminal
sanctions.