S FORM (Rev.

07/03)
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NOTICEOF
DISSOLUTION
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For Office Use Onlv

Comm.#
Indexed
Audited
Computer
Noticeof Dissolution CertifiedE
D ateof Dissolution

Mail to:
IECDB
510EasttZ\ Suiteta
DesMoines,Iowa50319
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City,State,Zip Code

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Area Telephone
Code

WHENTO FILE:
The Noticeof Dissolution
mustbe filedwithinthirty(30)daysof completion
of all the following:
1. All debts,loansandobligations havebeenpaidor transfened;
2. Allcampaignfundshavebeenspent;
3. All campaignpropertysoldor transferred (candidatesonly);and
4. A finalreportdisclosing
all transactions
closingthe committee.
Forstatecandidates andstatePACs,a finalbankstatementmustbe filedwiththe Noticeof Dissolution
or as soonas
possibleif the bankstatementis notavailableat the timethe Noticeof Dissolution
is filed.

or Treasurer(if candidate's
committee)/signature
of chair or Treasurer(if PAC)

DateSigned

FOR INSTRUCTIONS, SEE BAGK OF FORM

This form is not applicable to statutory political committees.