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2004 11 30 - DR3
2004 11 30 - DR3
07/03)
DR-3
Reset Form NOTICE OF
Mail to : DISSOLUTION
IECDB
510 East 12`h, Suite IA For Office Use Only
Des Moines, Iowa 50319
NOV Comm. #
2004 Indexed
Audited
Computer
Certified Date of Dissolution
COMMITTEE NAME
Committ ee to El e ct T om Sheet s
Official Name of Committee
PO Box 268
Street
( 641) 623-3052
Area Telephone
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 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 .