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    Bankers Trust 02 14 2005

    Uploaded by

    Zach Edwards
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Bankers Trust 02 14 2005

    Uploaded by

    Zach Edwards
    16 views1 page
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Original Title

    Bankers_Trust_02_14_2005

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    © Attribution Non-Commercial (BY-NC)

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    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views1 page

    Bankers Trust 02 14 2005

    Uploaded by

    Zach Edwards
    This document is part of the Iowa Ethics & Campaign Disclosure Board set, which was up to date as of 2/20/2011. The documents in this set consist of every pdf posted on the IEC website, but they should not be considered a replacement to searching the official website: http://www.iowa.gov/ethics/ ----- Disclaimer: I am not selling this data or making any money by posting this data. I'm merely trying to find a better way to search the information on the Iowa Ethics & Campaign Disclosure Board website.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    IOWAETHICS AND CAMPAIGN DISCLOSURE BOARD

    TH
    . ° 510 EAST 12 , SUITE 1A ONE-TIME CONTRIBUTION IN
    DES MOINES, IA 50319 EXCESS OF $750 BY A
    PERMANENT ORGANIZATION
    Fax : (515)281-3701
    www .iowa .gov/ethic s For office use only
    Indexed
    ONE-TI. ME_CONTRIBUTION IN EXCESS OF $750 Audited
    ` BY A PERMANENT ORGANIZATION Checked
    Computer
    Iowa Code section 68A .402(9) requires a permanent organization that contributes in excess of
    $750 to register and file reports as a PAC . This form is intended to serve those purposes . The
    form must be filed with the Board o n or before the tenth day of the date the check was issued .

    ORGANIZATION MAKING CONTRIBUTIONa

    Bankers Trust Company


    Name
    _ 453 7th Street Des Moines, Iowa 50309
    Mailing Address City, State, Zip Code
    (515) 245-5205
    Email Address (Optional) Area Code & Telephone No .

    CONTACT PERSON FOR THE ORGANIZATION :

    J . Michael Earley
    Name
    453 7th Street Des Moines, Iowa 50309
    Mailing Address CIty, State, Zip
    (515) 245-5205
    Email Address (Optional) Area Code & Telephone Number

    CANDIDATE OR COMMITTEE RECEIVING THE CONTRIBUTION :

    Name of Candidate or Committee

    Mailing Address City, State, Zip Code

    Email Address (if available) Area Code & Telephone Number


    County (If Applicable)

    If contribution to candidate, disclose source of original funds used to make


    such contribution (attach additional pages if necessary) . If In-Kind Contribution, Describe

    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 .
    2. Must be a permanent organization not established for election purposes .
    3. No person gave money to the organization for the purpose of the organization then using the money to make the contribution .
    4. If the contribution was made to a candidate, no funds from a corporation or other prohibited contributor under Iowa Code section
    68A .503 were used to make the contribution (this does not apply to a contribution made to a ballot issue committee) .
    5. 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 exceed $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, t;V "KV ~ 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
    inteptioBpl failure to file the form may lead to additional civil and criminal sanctions .
    t'\

    'gnature n Date

    "Contribution" includes goods or se ces that are provided for free or otherwise less than fair market value .

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