%,^er

*4<-
'1$$}!F't)'l'P''*n
",(;i;'u'"s\'*sq DR€
NOTICEOF
DISSOLUTION

For9free tlse Onlv

cor*. *5
Indexed
Audited
Computer {./ff\
Noticeof Dissolution Certified Date of Dissohrtion

Meil tor
IECDB
510Easttf, SuitetA
De$Moines,Iowa50319
Vle-k-l^,-,- S . A'A,'hr.
OffidalName of Commitee

tzTa /to{l. s+

,A,tl, 4tq - 5c/33

Area Telephone
Code

WHENTO FILE:
The Notice of Dissolutionmust be fled within ttrirty (30) days of compleUonof all the follovving:

1. All debts,loansand obligationshave beEnpaid or fansfened;

2. Allempalgn tundshave been spent;
3. All€mpaign propertysold or transfened(candidatesonly);and
4. A final repod disclosingalltransactionsclosingthe committee.

For stale candidatesand state PAGs,a final bank statementmust be filed with the Notlce of Dissoludonor as soon as
possibleif the bank statomentis not availableat the tme the Notice of Dissolutionis filed.

of Candidate
Signature or Treasurer committee)lsignature
Sfcandidate's (if PAC)
of Chairor Treasurer
(\
\a-- lr;a? .
r*" -sra"

FOR INSTRUCTIONS,SEE BACK OF FORiI

Thls form ls not appllcable to stahrtory poltttcal conrmtttees.