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iviau to :

IECDI3
510 East 12"', Suite IA For Office Use Only
Des Moines, Iowa 50319
Comm . #
Indexed
Audited
Computer
Certified Date of Dissolution

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Official Name of Committee

Street

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City, State, Zip 0"_,de

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Y--Telephone
Area
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
4. 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 .

(if candidate's committee)/Signature of Chair or Treasurer (if PAC)

/a-l0-05
Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM


This form is not applicable to statutory political committees .
October 10, 2005

IECDB
510 East 12th, Suite 1A
Des Moines, IA 50316

Ref: Notice of Dissolution - Committee #13552

Barrett deCathelineau withdrew from the city council race on


September 27, 2005 . Would you please implement
Dissolution of his committee?

The committee checking account is at zero and has been


closed and the committee had no activity .

Please let me know if you need additional information .

Thank you,

1
Blair L . Brody
Treasurer - deCathelineau for Council
1459 9th St SE
Mason City, Iowa 50401
641-425-0374
brod@netins .net

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