2006-06-08 DR3 - Amended

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Notice of Dissolution FORM


DR-3
(Rev . 07/03)

NOTICE OF
DISSOLUTION
Mail to :
IECDT3 MPAIGN
510 East 12' x ', Suite lA fWOARD For Office Use Onht
Des Maine^", Iowa 50319
JUN - 8 Comm . #
2006 Indexed
Audited
Computer
Certlfied Date of Dissolution

COMMITTEE NAME

L a\/ o n n E ~~ e-r 9 m
Official Name of Committee

-e C 0 'Y- e,41
City, State, Zip Code

rSG3i 3~~ - 3 1~ e ~rk )


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
a, 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, F C didate or Treasurer (if candidate's committee)/Signature of Chair or Treasurer (if PAC)
--7- a6
Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM


This form is not applicable to statutory political committees .

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