Generated On: 1/25/2011 8:01:40 PM

Date Posted
DR-3: Notice of Dissolution 1/21/2011 DR-3
ID: 18103 Comm. # 18103

Name: Carolyn Blum for Shelby County Treasurer Filed 1/21/2011

Type: County Candidate - Treasurer Audited

Status: Filed Certified

Committee Name Carolyn Blum for Shelby County Treasurer

Address 907 10th St

City, State, Zip Harlan, IA 51537

Phone 712-755-5622

Effective Date of Dissolution................................................................................. 1/21/2011

Gene Gross 1/21/2011

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.

Carolyn Blum 1/21/2011

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