FEC Form 1 for Michael Burgess for CongressForm 1 for Michael Burgess for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-119101

1. Michael Burgess for Congress

PO Box 2334
Denton, TX 762022334

2. Date: 05/07/2004

3. FEC Committee ID #: C00372532 This committee is a Principal Campaign Committee. Candidate: Michael C Burgess
Party:
Office Sought: House of Representatives
State is Texas in District: 26

Affiliated Committees/Organizations

Custodian of Records:

Mr. Robert Sherman
32 Timbergreen Circle
Denton, TX 762058577

Treasurer:

Mr. Robert Sherman
32 Timbergreen Circle
Denton, Texas 762058577

Designated Agent(s):

Banks or Depositories

Presidential Bank
4520 East-West Highway
Bethesda, Maryland 20814

Northstar Bank
P.O. Box 430
Denton, Texas 76201

Signed: Robert Sherman
Date Signed: 05/07/2004

(End FEC FORM 1)

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