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BR€

s.fll}--- . NONCEOF
ip,ETI{lcs DIsEOLUNON
i :it l'tSLlRE
,,,,ilFAiG:i B:

tlEC15 AH8:36
2009 ForOfilce UaeOnlv

Comtnf
Indsxed.
Compuler
Noticeof Dissolution CeillfiadDatoof Di€sduton_

Msllto!
IECDB
510Eastlf, SuitelA
Ds Moineqlowa503l9
CitizeneforMallicoat
OffrcialNamEof Commtttee
436Mill RidgeRood

Steet
Clints4IA52732
Oty, State,Zp Coda

d53 r 242-3553
Area Telephone
Cods

W}IENTOFILE:
TheNotcEof Dlseolution
mustbe f,ledwithinthlrty(30)dayeof comptetion
of alt thefoflowing:
t. All clebts,loansandobllgatonshavebEenpaidor hansfened;
2. All campelgnfundshavebeanepent;
3. All_cempslgn prcpertyeoldorbansfrned(candidates only);and
4. A ffnalreportdisdooingall hansacilonsdosingtrs commttEe.
Forsttte candidatgE 8ndstatePAC8,a fnal bank$alomsntmusilbeftledwiththe Noticed Diesolution
or Eseoonas
poesibletf the bankdatsmentie notavailableat tte tme thg Noflcsof Dlssolutonlefled.

candidate's of Chairor Treasurer(if


commiftee[Slgnature

FOR|NSTRUCT|ONS, SEEEJ\CKOF FORII


Thlobnn ls notappllebletoetatrbry polffcal commliloss.

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