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OTC - Contribution

Organization Details

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Address
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Address
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State
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Zip
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Email
Phone Number
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Organization Contact Details

First Name
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MI
Last Name
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Address
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Address
City
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State
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Zip
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Email
Phone Number
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Receiving Committee Details

Name
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Address
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Address
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Zip
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Email
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Contribution Details

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Amount
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Election Date
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County
In-Kind Description

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Review the Terms of Agreement

Criteria to use this form:

  • One campaign contribution in excess of $750 was made to a state or local candidate, party, political committee (PAC) for either a candidate or a ballot issue, or any other organization that advocates the election or defeat of a candidate or ballot issue.
  • Must be a permanent organization not established for election purposes.
  • No person gave money to the organization for the purpose of the organization then using the money to make the contribution.
  • If the contribution was made to a candidate, no funds from a corporation or other prohibited contributor under Iowa Code section 68A.15 were used to make the contribution (this does not apply to a contribution made to a ballot issue committee).
  • Only one contribution to any campaign committee except for a ballot issue committee was made in a calendar year. No more than one contribution may be made to any one ballot issue committee during a ballot issue election. If more than one contribution and the total amount of the contributions exceeds $750, the organization must register with the Board as a political committee (PAC) within 10 days of crossing the $750 threshold.

Statement of Affirmation:

I affirm that the contribution reported above is accurate. I further affirm that the information concerning the organization is correct and true to the best of my knowledge. I understand that by filing this form, I am subject to the laws found in Iowa Code chapter 68A and administrative rules found in chapter 351. I also understand that the failure to timely file this form leads to the imposition of civil penalties and the intentional failure to file the form may lead to additional civil and criminal sanctions.




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