Mind you, she was campaigning for the Democrats and the Obama campaign, and they weren't distributing this flier. She found out about it when a worried older Democrat brought it in to the field office.
This is the area of the country that my family comes from (my dad was born at Ashland Hospital, my grandfather died in Ashland). Most folks are as white as the snow that blankets the land for way too many months of the year. Dark-skinned folks are Italians or Native Americans. Black people live somewhere else. I've got an aunt and uncle who, while otherwise sensible people, were already worried that if Obama got elected he would fill the White House with black folks (for which my dad mercilessly tweaks them). They don't need faked campaign propaganda pieces to stoke up their unease about race.
This goes so well with the McCain/Palin Campaign volunteer faking up a story of how a big black man mugged her because of the McCain bumper sticker on her car and the McCain/Palin Campaign running with the story.