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Form ONE-TIME CONTRIBUTION IN EXCESS OF $750 BY A PERMANENT ORGANIZATION DES MOINES, IA 50319 2pp5 02/02 For of ce use only ONE-TIME CONTRIBUTION IN EXCESS OF $750 BY A PERMANENT ORGANIZATION Iowa Code section 6BA.402(g) requlres 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 d. form m st be filed with t e Board on or before the tenth day of the dot e the check was issue Indexed Audit.

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