Generated On: 11/24/2009 11:15:29 AM

Date Posted
DR-3: Notice of Dissolution 9/14/2009 DR-3
ID: 21535 Comm. # 21535

Name: Mothers for a Safe Place to Swim in Hampton Filed 9/30/2009

Type: Local Ballot Issue Audited 11/24/2009

Status: Filed Certified

Committee Name Mothers for a Safe Place to Swim in Hampton

Address 1800 Federal Street North

City, State, Zip Hampton, IA 50441

Phone 641-456-4995

Effective Date of Dissolution................................................................................. 9/14/2009

Jennifer Hansen 9/14/2009

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.

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