Form DR-3 : Notice of Dissolution

Date Posted : Form DR-3 Dissolution

3/9/2007 ICFRS 7198 Notice
For Office Use Only
ID : 21437
Comm . # 21437

Name : Committee for Good Government in Jefferson County Indexed

Audited 31912007
Computer
Type : County PAC
Certified Date of
Status : Dissolution

Official Name of Committee

Committee for Good Government in Jefferson County

Address
1639 Packwood Road

City, State, Zip

Fairfield, IA 52556
Phone
(319)695-3196 (nul)Inu-null

Effective Date of Dissolution 3/9/2007

Norman Atwood 3/9/2007

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 .

Norman Atwood 3/9/2007

Signature of Candidate Date Signed

Printed using the IECDB Web Reporting System on 03/12/2007 10 :19 :27
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1 510 EAST 12th, SUITE 1A I DES MOINES, IA 50319 1(515) 281-4028