M. Fisher 319-422-5394 p .

7
Nov 16 04 l0 :01p Martin

"ice of Dissotution
Mail to :
IECDE
510 East 1P, Suite l A
Des Moines, Iowa 50319

COMMITTEE NAME

Fisher for Sheriff _.

OlffiaatName_of Cammdtee_ .

153 HWY 150 South

__
SU eet

West Union, Iowa 52M-

City, StatL-, Zip Code

563 422-3394-
f }
Aran-_ Telephone
G
.ode

WHEN TO FILE :
The Notice of [ssofution must be fTedwiThin thirty (30YAdaysof~comprotion-afaMhe fo"ng:

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

Z. Air campaign funds have beensperit,
3. All campaign property sold or transferred (candidates only); and
4. A final report disci-osirig aftnansxtf - ' e:

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 avafbra at the-tfirw thaWotFm oflTissoUkon .is its.

1
./y .~c2 Z~
Data Signed

FOR INSTRUCTIONS, SEE BACK OF FORM

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