Generated On: 10/27/2010 2:15:12 PM

Date Posted
DR-3: Notice of Dissolution 10/27/2010 DR-3
ID: 9673 Comm. # 9673

Name: Local No. 1142 UFCW Political Fund Filed 10/27/2010

Type: Iowa PAC Audited

Status: Filed Certified

Committee Name Local No. 1142 UFCW Political Fund

Address PO Box 3151

City, State, Zip Sioux City, IA 51102

Phone 712-255-4726

Effective Date of Dissolution................................................................................. 10/27/2010

William Buckholtz 10/27/2010

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