You are on page 1of 1

. FORM (Rev.

07/03)
DR€
r i{P,,{frr5lff?-l$#,'lou
uo
"i:38i5'?5-
ForOffice Use Onlv 2009DECZb
AHB:3?
Comm.#
Audited
Comouter
Certifiedoaffi

Noticeof Dissolution
Mailto:
IECDB
510East12fr,Suit€lA
DesMoines,Iowa 50319

lil i u 4 ez-lo.E Faa C,'!o (o u tr e; t-


fficialNameofCdmmittee

43 / f Sfe a t,-a4 Ltt us


Sfeet

Cey',qz F.+//z z?hrA c0b/3- 6q7q


City,State,Zp Code

t'3ttt 2C6- SObL


Area Telephone
Code
GOilMTTTEENAIIE

UYTIEN
TO FILE:
The Noticeof Dissolutionmustbe filedwithinthirty(30)daysof completionof allthe following:
1. Alldebts,loansand obligationshaveben paidortransfened;
2. Allcampaignfundshavebeenspent;
3. All campaignpropertysoldor transfened(candidatesonly);and
4. A final reportdisclosingall ffansactionsclosingthe committee.
For state candidatesand state PACs,a final bank statementmust be filed with the Noticeof Dissolutionor as soon as
possibleif the bankstatementis notavailableat the timethe Noticeof Dissolutionis filed.

or Treasurer of Chairor Treasurer(if PAC)

FORINSTRUCTIONS, SEE BACK OF FORiN


Thls form ls not applicable to statutory polltical committees,

You might also like