You are on page 1of 1

Noticeof Dissolution FORiI eev.

OZtOgl
DR€
NONCEOF
Mailto: DISSOLUTION
IECDB
510East tz&, SuitelA
DesMoines,Iowa 50319 FgrOffice UseOntv

comm.
* 114) I
L

.- cD CertifiedDateof Dissotution
*' (\
\ ; <

--ri (\J
{,:' s_
$tr GOMi'ITTEENAME
:E@
fi 6\J .41
5.J FV
==K OtrddName Gommittee
@,i R

,fiL, q,,-ntw
Area Telephohe
Code

WHENTO FILE:
The Noticeof Dissolutionmustbe filedwithinthirty(30)daysof compleUon
of allthe following:
1. All debts,loansand obligationshave@n paidorhans€ned;
2. Allcampaignfundshavebeenspenq
3. All campaignpropertysoldortransfened(candidatesonly);and
4. A final reportdislosing all hansactionsclosingthe commiftee.

For state candidatesand state PACs,a final bank statementmust be filed with the Noticeof Dissolutionor as soon as
possibleif the bankstratenrent
is not availableat the timethe Noticeof Dissotutionis filed.

ommittee/Signaturcof Chairor Treasurer(if pAC)

Date Signed

FORINSTRUCTIONS, SEEBACK OF FORIU


Thls form is not appllcable to statutory polidcal commlttees.

You might also like