Free candterm.indd - Wyoming

Candidate's Campaign Committee Termination Report
W.S. 22-25-106(b) Upon retirement of all debts, the committee may terminate. Date last report filed Committee Name Mailing Address Phone

Please report contributions and expenditures incurred since the last reporting period on a separate sheet. Summary Total Receipts for this filing period Total Expenditures for this filing period Excess Campaign Funds $ $ $

I hereby affirm that all debts of the above committee have been retired.

Chairman

Treasurer

Date
Filing Offices g County Clerk y -

Date

Candidates for district attorney, county and municipal offices, magistrates, school and community college district trustees. Candidates for state legislature, statewide office, circuit court, district court or supreme court

Secretary of State y

Criminal Penalty y
Anyone violating any of the campaign reporting provisions of the Wyoming Election Code is guilty of a misdemeanor punishable by not more than six (6) months imprisonment in the county jail, a fine of not more than $1,000, or both. (W.S. 22-26-112) This form can be accessed on the Secretary of State's WEBSITE at: http://soswy.state.wy.us/Forms/FormsFiling.aspx p y y g p
3/2009 candterm