Generated On: 1/10/2011 3:15:21 PM

Date Posted
DR-3: Notice of Dissolution 1/10/2011 DR-3
ID: 1772 Comm. # 1772

Name: Doug Smith for House of Representatives Filed 1/10/2011

Type: State House Audited

Status: Filed Certified

Committee Name Doug Smith for House of Representatives

Address 1874 190th Ave.

City, State, Zip Osceola, IA 50213

Phone 515-770-6247

Effective Date of Dissolution................................................................................. 1/10/2011

Amber Smith 1/10/2011

Signature of Treasurer Date Signed

THIS BOX APPLIES TO CANDIDATE COMMITTEES ONLY:

I, the candidate, certify that my candidate committee's cash balance is zero, all debts, obligations and loans have
been paid or satisfied in accordance with law as shown on my committee's final report and all campaign property
and leftover funds have been distributed in accordance with my committee's last filed Statement of Organization.

Doug Smith 1/10/2011

Signature of Candidate Date Signed

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1