2005-02-21 - DR3Eiten David

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

0'2/21% 2005 13 : 44 17122533413 CPAWFOPD CO RECORDER PAGE 05

FORM (Rev. 07103)


Notice of Dissolution DR-3
NOTICE OF
DISSOLUTION
Mail to :
'1ECDB
no RRst Tr. Suite lk For Oflk9 Use Only
Des Moines, Iowa 30?19
Comm . #
Indexed 2
Audded
Computer .601
Certified Date of Dissolution

COMMITTEE NAME

Co r-r .-y,ofl"ee 40
Official Name of Committee ~.td, i-v r

Street

1 `50 0 7 .p AJA.
City, 9tato, z:p code

-7 1?..) , . 3 - ~ (^
Area Telephone
Code

WHEN TO FILE :
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following:

1. All debts, loans and obligations have been paid or transferred ;


2, All campaign funds have been spent.
3, All campaign property sold or transferred (candidates only); and
4. A final report disclosing all transactions closing the committee.

For state candidates and state PACs, a final bank statement must be filed with the Notice of Dissolution or as soon as
possible If the bank statement is not available at the time the Notice of Dissolution is filed.

Signature of Candidate or Treasurer (if candidate's committee)/Signature of Chair q(Treasurer (if PAC)

Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM


This form Is not applicable to statutory political committees.

You might also like