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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-854576

1. Michael Burgess for Congress

PO Box 2334
Denton, TX 762022334
Email: info@campaignfinancial.com

2. Date: 02/05/2013

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

Affiliated Committees/Organizations

NONE
-
-
-, Texas 00000

Custodian of Records:

Campaign Financial S ervices
PO Box 30844
Bethesda, MD 208240844
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Richard Springer
PO Box 30844
Bethesda, Maryland 20824
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Northstar Bank
PO Box 430
Denton, Texas 762020430

Presidential Bank
4520 East-West Highway
Bethesda, Maryland 20814

Wachovia Bank, N.A.
7901 Wisconsin Avenue
MD #1010
Bethesda, Maryland 208143619

Signed: Richard Springer
Date Signed: 02/05/2013
Official Committee URL: www.burgessforcongress.com

(End FEC FORM 1)

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