Nebraska Accountability and Disclosure Commission

NEBRASKA
ACCOUNTABILITY AND
DISCLOSURE COMMISSION
11th Floor, State Capitol
P.O. Box 95086
Lincoln, NE 68509
(402) 471-2522

STATEMENT
OF
ORGANIZAION
OF A
POLITICAL COMMITTEE

NADC FORM A-1

A candidate for any elective office in Nebraska (state, county or local) must organize a candidate committee and file this Statement of Organization of a Political Committee within 10 days after raising, receiving, or spending more than $5,000 in a calendar year (including personal funds) in support of his/her candidacy for office; or, within 2 days after raising, receiving, or spending more than $5,000 in a calendar year (including personal funds) during the 30 days prior to the election for which the committee exists.
All other political committees which raise or spend over $5,000 in a calendar year must also file this Statement of Organization of a Political Committee according to the schedules in the preceding paragraph.
Penalty for filing this statement after the date it is due is $25 per day for each day the statement remains not filed in violation of law, not to exceed $750.
Persons who fail to file this statement or otherwise do not comply with the reporting provisions of the law are subject to other penalties.

ITEM 1

NATURE OF FILING

This is and initial filing

ITEM 2

COMMITTEE NAME, MAILING ADDRESS & TELEPHONE NUMBER

THIS ADDRESS WILL BE USED BY THE COMMISSION FOR CORRESPONDING WITH THE COMMITTEE.

Committee Name	KLEINE FOR DOUGLAS COUNTY ATTORNEY	Telephone No.	(402) 592-5067
Address	15471 STEVENS PLAZA; OMAHA NE 68137

ITEM 3

NATURE OF COMMITTEE

Candidate Committee

ITEM 4

CANDIDATES THE COMMITTEE SUPPORTS OR OPPOSES

Name	Support	Oppose	Specific Office
KLEINE, DONALD W	X		COUNTY ATTORNEY

ITEM 5

BALLOT QUESTIONS THE COMMITTEE SUPPORTS OR OPPOSES

Summary of Substance of Each Ballot Question

Support

Oppose

Type
(See Key)

KEY: A - Initiative B - Recall C - Referendum D - Constitutional Amendment E - Other

ITEM 6

DATE OF THE NEXT ELECTION FOR WHICH COMMITTEE IS SUPPORTING OR OPPOSING
CANDIDATES OR BALLOT QUESTIONS 11/07/2006

ITEM 7

DATE THIS COMMITTEE RAISED, RECEIVED OR EXPENDED MORE THAN $5,000 IN A CALENDAR YEAR
06/16/2005

ITEM 8

NAME, ADDRESS & TELEPHONE NUMBER OF THE OFFICERS AND MEMBERS OF THE COMMITTEE

Position	Name	Address (Street or Rural Route & City)	Telephone No.
Treasurer	MICHAEL ZABAWA

ITEM 9

NAME AND ADDRESS OF ALL FINANCIAL INSTITUTIONS WHERE COMMITTEE FUNDS ARE KEPT

A SEPARATE ACCOUNT MUST BE ESTABLISHED, AND ALL FUNDS RECEIVED AND
ALL EXPENDITURES MADE MUST GO THROUGH THIS ACCOUNT.

Full Name	Address (Street or Rural Route)
WELLS FARGO BANK	OMAHA, NE

ITEM 10

COMMITTEE ACRONYM (If Applicable)

ITEM 11

NAME AND ADDRESS OF CORPORATION, LABOR ORGANIZATION OR INDUSTRY, TRADE OR PROFESSIONAL ASSOCIATION EXTABLISHING & ADMINISTERING SEPARATE SEGREGATED POLITICAL FUND.

Name
Address

ITEM 12

NAME AND ADDRESS OF CONTROLLING INDIVIDUALS

Identify the full name and address of the individuals who will determine which candidates or ballot questions the committee or fund
will support or oppose, or a description of the manner in which such determinations are made.

Note: Ballot Question committees may not make expenditures which are in support of or opposition to candidates.

Full Name

Address (Street or Rural Route)

ITEM 13

NAME AND ADDRESS OF INDIVIDUALS WHO ORGANIZED COMMITTEE OR CAUSED SOLICITATION OF CONTRIBUTIONS TO BE MADE TO THE COMMITTEE AND IF SUCH ORGANIZATION OR SOLICITATION WAS ON BEHALF OF ANY OTHER PERSON, ALSO INCLUDE THE NAME AND ADDRESS OF THAT PERSON.

Full Name

Address (Street or Rural Route)