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DISSOLUNON
flgag0lEt,?z
At{B:32

Comm.#
Indexed
Computer
Noticeof Dissolution Cefffied Date of Dissolution

Mail to:
IECDB
510 Easttf, Suiteta
Anhalt for School Board Des Moines,Iowa 50319

Official Name of Commitee

19334th Ave, SE

Sfeer
C€darRapids lA 5240.3

City, State, Zp Code

363-3240
Telephone

WHENTO FILE:
The Noticeof Dissolutionmust be filed withinthirty (30) days of comptetionof atl the following:

1. All debts,loansand obligationshave been paid or transfened;

2. Allcampaignfunds have been spent;
3. All campaignpropedysold or fiansfened(candidatesonly);and
4. A final reportdisclosingalltransac{ionsclosingthe commitee.

For state candidatesand state PAGs,a final bank statementmust be filed with the Notice of Dissotutionor as soon as
possibleif the bank statementis not availableat the time the Noticeof Dissolutionis fled.

Signatureof Candidateor Treasurer(if candidate'scommittee/Signatureof Chair or Treasurer(if PAC)

/ 2 -t s.a?
DateSigned

FOR INSTRUCTIONS,SEE BACK OF FORM

This form is not applicable to statutory political committes,