Professional Documents
Culture Documents
07/03)
DR-3
NOTICE OF
Mail to: DISSOLUTION
IECD13
510 East 12` h, Suite IA For Office Use Only
Des Moines, Iowa 503
`GQIV r". Comm. #
VR Indexed
-os Audited
b\15C Computer
Certified Date of Dissolution
COMMITTEE NAME
Street
c~.11 3 . V'i GI 7
Area Telephone
Code
X63 ~ ~~.~- 193
WHEN TO FILE :
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following :
For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as soon as
possible if the bank statement is not available at the time the Notice of Dissolution is filed .
~71~o a
Signature of Candidate or Treasurer (if ca didate's committee)/Signature of Chair or Treasurer (if PAC)
Date Signed