Generated On: 12/3/2010 10:10:33 AM

Date Posted
DR-3: Notice of Dissolution 11/1/2010 DR-3
ID: 18582 Comm. # 18582

Name: Committee to Elect Kirk J Requist Filed 11/1/2010

Type: County Candidate - Supervisor Audited

Status: Filed Certified

Committee Name Committee to Elect Kirk J Requist

Address 411 Grand Ave

City, State, Zip Stanton, IA 51573

Phone 712-370-1081

Effective Date of Dissolution................................................................................. 11/1/2010

Paul Olson 11/1/2010

Signature of Treasurer Date Signed

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.

Kirk Requist 11/1/2010

Signature of Candidate Date Signed

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1