Notice of Dissolution: For Instructions, See Back of Form This Form Is Not Applicable To Statutory Political Commi 5 Z
Notice of Dissolution: For Instructions, See Back of Form This Form Is Not Applicable To Statutory Political Commi 5 Z
Notice of Dissolution: For Instructions, See Back of Form This Form Is Not Applicable To Statutory Political Commi 5 Z
2-
NOTICE OF
DISSOLUTION
Mxi1 to :
IECDB
510 East 12'°, Suite lA For Office Use Only
Des Moines, Iowa 50319
Comm. #
Indexed
Audited
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Certified Date oo Dissolution h
~rUI ;W `
Official Name of Com ittee
Street
'
SLU E S~~r .. V Sa3~
City, State, Zip Code
WHEN TO FILE :
The Notice of Dissolution must be filed within thirty (30) days of completion of all the following :
For state candidates and state PACs, a final bank statement must be flied 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.
O
Date Signed
FOR INSTRUCTIONS, SEE BACK OF FORM Post-It- Fax Note 7671 Date 5 _7j o(' Not 10. Z
This form Is not applicable to statutory political commi To From
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Co .tDept Co
Phone u Phone # ~`
Fax fi Fax n