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Notice of Dissolution FORM (Ray. 071!03)

DR-3
NOTICE OF
DISSOLUTION
Mail to :
1ECDB
510 East I2~', Suite IA Eez Pam UseRn
Des Moines, Iowa 50319
Comm . *
Indexed
Audited
Computer
Certified Date of Dissolution

COMMITTEE NAME

Committee to Elect Robert Wenner

Official Name of Committee

1109 Prairie Lane

Street

Marshalltown, Iowa 50 158

City, State, Zip Code

641 752-3302
( 1
Area Telephone
Code

WHEN TO FILE .
The Notice of Dissolution must be tiled within thirty (30) days of crxnpletlon of all the following:

1. All debts, loans and obligations have been paid or transferred ;

2. All campaign funds have been spent;
3. All campaign property sold or transferred (candidates only); and
4, A final report disdosing all transactions dosing the committee.

For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as won as
possible if the bank statement Is not available at the time the Notice of Dissolution is flied.

Signature of Candidate or Treasurer (If candidate's commtdee)ISignature of Chair or Treasurer (if PAC)

/4~1 -04!;~
Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM

This form is not applicable to statutory polktcat cotnmltltees-