Generated On: 6/29/2010 7:15:04 AM

Date Posted
DR-3: Notice of Dissolution 6/22/2010 DR-3
ID: 18533 Comm. # 18533

Name: Davis For Supervisor Filed 6/29/2010

Type: County Candidate - Supervisor Audited

Status: Filed Certified

Committee Name Davis For Supervisor

Address 14156 Newport Road

City, State, Zip Olin, IA 52320

Phone 319-480-5912

Effective Date of Dissolution................................................................................. 6/22/2010

Lowell Tiedt 6/22/2010

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.

Robert Davis 6/22/2010

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