1110112005 11 :13 3193351362 UNIVERSITY OF IOWA PAGE 01

Notice of Dissolution FORM (Rev. 07103)

DR-3
NOTICE OF
DISSOLUTION
11AIt to:
IECDB
510 East 12m, Suite 1A F Office Use Qnhr
Des Moines, Iowa 50319
NOV - 1 2005 Comm . #
Indexed
Audited
Computer
Certified Date of Dissolution

COMMITTEE NAME

The Committee To Re-dept Tim Orbs

Official Name of Committee

511 S. 2nd

$treat

Washington, Iowa 52353

City, State. Zip Code

319 653-2557
f 1
Area Telephone
Code

VUMEN 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. AN 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.

T ;20~ I
Signature of Candidate or
olu~l
surer (if candidate's committeeySignawre of Chair or Treasurer of PAC)

Date Signed

FOR INSTRUCTIONS, SEE BACK OF FORM

This form Is not applicable to statutory political committees .
11/0112005 11 :13 3193351362 UNIVERSITY OF IOWA PAGE 03

October 30, 2005

NOV - 1 2005
Iowa Ethics and Campaign Disclosure Board
510 East 12th Street, Suite I A
Des Moines, IA 50319

To Whom It May Conccrn,

This is to notify the Iowa Ethics and Campaign Disclosure Board, I would lake to
disolve my campaign committee for the Washington Community School Board . During
my campaign I did not receive more than $750 in contributions . I have included a. DR-3
form with this statenwnt, ifyou have any further questions or comments please contact me
by phone (319) 653-2557 or e-mail torris78@yahoo .co m. Thank you.

cu", oj&"6,
Tim Orris
511 S. 2nd Ave.
Washington, IA 52353
(319) 653-2557