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NONCEOF
DrssoLunoN

ForOfllce UgeOnlv

Comm.#
lndexed
Audlted
Computei
Noticeof Dissolution CerflfiedDateof Dissolution

Mril to:
IECDB
510 Eastllh, SuitelA
DesMoines,Iowa50319
People for Hindman

Official Name of Commiftee

605North l3th Sreet

Street
FortDodge,IA 505OI

City,State,Zip Code

(515 ) 408-6370
Area Telephone
Code

WHENTO FILE:
The Notlceof Dlssolutionmustbe filedwithlnthirty(30)daysof compteilonof alllhe followlng:

1. All debts,loansand obligationshavebeenpaldor transfened;

2. All campaignfundshavebeenspent;
3. fll-empaign propertysold or transferred(candidates only):and
4. A ffnalreportdisclosingall transacfionsclosingthe committee.

For statecandidatesand statePACs,a final bankstatementmustbe filedwith the NoticEof Dissolution

or as soonaG
possibleif the bankstatemEnt
is not availableat the timethe Notlceof Dlssolution
is tiled.

of Candldateor Treasurer(f candidateb of Chairor Treasurer(if PAC)

lL'31'O lL-
Date Signed

FORINSTRUCTIONS, SEEBACK OF FORM

This form ls not appllcableto statutory pollflcal commitGes.