Generated On: 5/13/2009 10:15:08 PM

Date Posted
DR-3: Notice of Dissolution 5/13/2009 DR-3
ID: 17199 Comm. # 17199

Name: Tlach for Supervisor Filed 5/13/2009

Type: County Candidate - Supervisor Audited

Status: Filed Certified

Committee Name Tlach for Supervisor

Address 1080 290th

City, State, Zip Britt, IA 50423

Phone 641-565-3778

Effective Date of Dissolution................................................................................. 5/13/2009

Carol Tlach 5/13/2009

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.

Jerry Tlach 5/13/2009

Signature of Candidate Date Signed

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1