FEC Form 1 for Costello for Congress CommitteeForm 1 for Costello for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-79521

1. Costello for Congress Committee

P. O. Box 8250
Belleville, IL 62222
Email: gotv@aol.com

2. Date: 03/22/2003

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

Affiliated Committees/Organizations

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Banks or Depositories

West Pointe Bank
5701 West Main Street
Belleville, Illinois 62223

Signed: Daniel Costello
Date Signed: 03/22/2003

(End FEC FORM 1)

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