Generated On: 12/28/2010 1:15:25 PM

Date Posted
DR-3: Notice of Dissolution 12/26/2010 DR-3
ID: 18555 Comm. # 18555

Name: Cusack for Supervisor Committee Filed 12/26/2010

Type: County Candidate - Supervisor Audited 12/28/2010

Status: Filed Certified

Committee Name Cusack for Supervisor Committee

Address 22470 140th Ave

City, State, Zip Davenport, IA 52806

Phone 563-285-7654

Effective Date of Dissolution................................................................................. 12/26/2010

Gary Hansen 12/26/2010

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.

William Cusack 12/26/2010

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