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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-445646

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1. COSTELLO FOR CONGRESS COMMITTEE

    P. O. BOX 8250
    BELLEVILLE, IL 62222
    Email: costelloforcongress@gmail.com

2. Date: 01/19/2010

3. FEC Committee ID #: C00238444 This committee is a Principal Campaign Committee. Candidate: Jerry F. Costello
Party: Democratic Party
Office Sought: House of Representatives
State is Illinois in District: 12

Affiliated Committees/Organizations

Custodian of Records:

Mary Shalapin
P. O. Box 8250
Belleville, IL 62222
Title: Treasurer
Phone # (618) 397-9599

Treasurer:

Mary Shalapin
P. O. Box 8250
Belleville, Illinois 62222
Title: Treasurer
Phone # (618) 397-9599

Designated Agent(s):

Mary Shalapin
P. O. Box 8250
Belleville, Illinois 62222
Title: Treasurer
Phone # (618) 397-9599

Banks or Depositories

Bank of Edwardsville
5720 West Main Street
Belleville, Illinois 62226

DuQuoin State Bank
15 East Main
DuQuoin, Illinois 62832


Regions Bank
4800 West Main Street
Belleville, Illinois 62223


Bank of OFallon
901 S. Lincoln
OFallon, Illinois 62269


Wachovia Bank
100 N. Main Street
Winston-Salem, North Carolina 27101


Community First Bank
4600 North Illinois Street
Fairview Heights, Illinois 62208


Commerce Bank
5701 West Main Street
Belleville, Illinois 62226


Community First Bank of the Heartland
117 North 10th
Mt. Vernon, Illinois 62864


Bank of America
23 Public Square
Belleville, Illinois 62220

Signed: Mary Shalapin
Date Signed: 01/19/2010

(End FEC FORM 1)

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