FEC Form 1 for Kay Granger Campaign FundForm 1 for Kay Granger Campaign Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026703

1. Kay Granger Campaign Fund

1701 River Run, Suite 1010
Fort Worth, TX 76107
Email: kay@kaygranger.com

2. Date: 10/04/2015

3. FEC Committee ID #: C00310532 This committee is a Principal Campaign Committee. Candidate: Kay Granger
Party: Republican Party
Office Sought: House of Representatives
State is Texas in District: 12

Affiliated Committees/Organizations

Custodian of Records:

Terry Thomason
1701 River Run, Suite 1010
Fort Worth, TX 76107
Title: Custodian of Records
Phone # (817) 870-5000

Treasurer:

Rice M. Tilley, Jr.
9975 Boat Club Rd
Fort Worth, Texas 76179
Title: Treasurer
Phone # (817) 236-6402

Designated Agent(s):

Elaine J. Petrus
3736 Country Club Circle
Fort Worth, Texas 76109
Title: Assistant Treasurer
Phone # (817) 924-8898

Theodore V. Koch
901 N. Washington St, Ste 700
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 299-8570

Banks or Depositories

Frost Bank
1300 Summit Avenue
Fort Worth, Texas 76102

Wells Fargo Bank
1661 S University Dr
Fort Worth, Texas 76107

Liberty Bank
5801 Davis Blvd
N Richland Hills, Texas 76180

Signed: Rice M. Tilley, Jr.
Date Signed: 10/04/2015
Official Committee URL: www.kaygranger.com

(End FEC FORM 1)

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