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NOTICEOF
DISSOLUTION
?009DEC
t[ AH9:07
For Offlce Use Only

Comm.#
Indexed
Audited
Computer
-Noticeof Dissolution CertifiedDateof Dissolution

Mailto:
IECDB
510 Easttlh, SuitetA
DesMoines,Iowa50319

Street

/\a"r.a, tA SrSsA
City,Strate,
Zip Code

Telephone

WHENTO FILE:
mustbe filedwithinthirty(30)daysof completion
The Noticeof Dissolution of all thefollowing:

1. All debts,loansandobligations havebeenpaidor transfened;

2. All campaign fundshavebeenspent;
3. All campaignpropertysoldor transferred (candidatesonly);and
4. A finalreportdisclosing
all transactions
closingthe committee.

Forstatecandidates andstatePACs,a finalbankstatement or as soonas

mustbe filedwiththe Noticeof Dissolution
possibleif the bankstatement is filed.
is notavailableat the timethe Noticeof Dissolution

of Candidateor Treasurer(if of Chairor Treasurer(if PAC)

committee)/Signature

7 -lD t N1 ' =, =,,..,

Date Signed

FORINSTRUCTIONS, SEEBACK OF FORM

Thls form ls not appllcableto statutory polltlcal commlttees.