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Generated On: 10/8/2010 2:15:04 PM

Date Posted
DR-3: Notice of Dissolution 10/8/2010 DR-3
ID: 9738 Comm. # 9738

Name: ActBlue Iowa Filed 10/8/2010

Type: Iowa PAC Audited

Status: Filed Certified

Committee Name ActBlue Iowa

Address PO Box 382110

City, State, Zip Cambridge, MA 02238

Phone 617-395-9506

Effective Date of Dissolution................................................................................. 10/8/2010

Matt DeBergalis 10/8/2010


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.

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

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