Form DR-3: Notice of Dissolution

Date Posted: Form DR-3 Dissolution

1/19/2006 ICFRS 7/98 Notice
For Office Use Only
ID: 9708
Comm. # 9708
Name: Tri-County Coalition for the Future Indexed
Audited 1/19/2006
Computer
Type: Iowa PAC
Certified Date of
Status: Dissolution

Official Name of Committee

Tri-County Coalition for the Future

Address
218 South 4th Avenue

City, State, Zip

Winterset, IA 50273
Phone
(511)462-5114 ()-

Effective Date of Dissolution..........................................................................

1/19/2006

Harold Jackson 1/19/2006

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.

Harold Jackson 1/19/2006

Signature of Candidate Date Signed

Printed using the IECDB Web Reporting System on 01/20/2006 08:36:19

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028