Generated On: 2/6/2009 3:15:08 PM

Date Posted
DR-3: Notice of Dissolution 2/6/2009 DR-3
ID: 868 Comm. # 868

Name: Jacobs Committee Filed 2/6/2009

Type: State House Audited

Status: Filed Certified

Committee Name Jacobs Committee

Address 808 58th St.

City, State, Zip West Des Moines, IA 50266

Phone 515-223-1225

Effective Date of Dissolution................................................................................. 2/6/2009

Beecher Turner 2/6/2009

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.

Elizabeth Jacobs 2/6/2009

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