2010 07 15 - DR 3

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STA1EMENTOF
Statementof Dissolution DISSOLUTION

January1,2010,thlsbrm mustbefiledelectonielpby
Effectlve
moststatecommittees. EftcilfueJanury 1,2011,thlsformmust Comm.#
befilodoledlpnielly by met loml commlttees. Pleasecheck lrulexd
tudt€d
wlththe Board!o seelf youarerequlredto fflelt electonlelly. Computer
lndependentexpendlture commlftees mustfilethlsbnn C@rtfu Dqteof-Dieeotuton
efecfonlcalfy.

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Area
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h'HENTOFILE:
mustbenbd wlthlnthlrty(30)daysof ompledonof altthefioltorulng:
of Dlssolullon
ThaStatement
.1. Alldebts,lens andobllgadonshaw beenpaldor banstened;
2. Alloampaign tundohavebeenEpeng
3. Allempalgnprcpertysoldor CIangf€n€d (candld€boonly);and
4. A frnalrepoildlsclmlnga[ $ansactons
cloelngthocommFlb€ hesbeenflled.
Forstatecandldates andgbb PACs,a finalbanksbbmentmustbefrledwlfr tre Statement of Dlssolutonor as soonas
poslble f fie bankotstemEnt
lenotavallableat he tme he Sbbmentof Dlseolutlon
lEfrled.

orTrcasupf(ilcanddab'scommltbe)rSlgnaturo (lf PAC)


of ChalrorTreasurcr
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SEEEACK OF FORM
FORINSTRUCTIONS,

BoardAddres: 510 E 12rhStegl Ste 1A' DesMoin6. lA503tg FaxNumben31pl281/pz9

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