Form DR-3: Notice of Dissolution

Date Posted : ', 'I ' Form DR-3 Dissolution

12/4/2005 I ICFRS 7_/98__ Notice ~1n
for offlce Use Only
ID: 13480
Comm . # 13480
Name: Committee to Elect Dobyns ! Indexed
Audited 12/4/2005

Type: Municipal Candidate - City Council Computer

Certified Date of
Status : ( IDissolution -.

Official Name of Committee

Committee to Elect Dobyns

Address
1950 Calvin Avenue

i City, State, Zip

Iowa City, IA 52246
Phone
(319)354-3193 ()-

Effective Date of Dissolution . . . . .. . . . . . ... . . . . . . . . . . . .. . . . . .... . . . . .. . . . . . .. . . . . .. . . . . . . . . . . 12/10/2005

Ron Berg 12/10/2005

Signature of Treasurer Date Signed

I 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 .

Ric k Dobvns 12/10/2005

Signature of Candidate Date Signed

Printed using the IECDB Web Reporting System on 12/13/2005 16:05:27

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1510 EAST 12th, SUITE 1A I DES MOINES, IA 50319 1(515) 281-4028