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2005 12 13 - DR3
2005 12 13 - DR3
DR-3
(Rev. 07/03)
NOTICE OF
DISSOLUTION
Mnil to:
IECDB
510 East 12`x, Suite IA For Office Use Onhr
Des Moines, Iowa 50319
Comm. #
Indexed
Audited
Computer
Certified Date of Dissolution
COMMITTEE NAME
Street
319 364-3200
Area Telephone
Code
WHEN TO FILE:
The Notice of Dissolution must be fired 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.
Signature of Candidate or Trea r (if candidate's committeeYSignature of Chair or Treasurer (if PAC)
IZ JZ d
We Signed