FEC Form 1 for Charles Boustany JR MD for Congress, INCForm 1 for Charles Boustany JR MD for Congress, INC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-434352

1. Charles Boustany JR MD for Congress, INC

PO Box 80126
Lafayette, LA 705980126
Email: cfs@talentpaymaster.com

2. Date: 10/06/2009

3. FEC Committee ID #: C00394866 This committee is a Principal Campaign Committee. Candidate: Dr. Charles Boustany, Jr.
Party: Republican Party
Office Sought: House of Representatives
State is Louisiana in District: 07

Affiliated Committees/Organizations

Boustany-Westmoreland Caves Valley Classic
7315 Wisconsin Avenue
Suite 310 East
Bethesda, Maryland 20814
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Campaign Financial S ervices
7315 Wisconsin Avenue
Suite 310 East
Bethesda, MD 20814
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Mr. Alan D. Hebert
307 Princeton Woods Loop
Lafayette, Louisiana 705086603
Title: Treasurer
Phone # (337) 232-1000

Designated Agent(s):

Banks or Depositories

Wachovia Bank, N.A.
7901 Wisconsin Avenue
MD1010
Bethesda, Maryland 208143619

Iberia Bank
200 W Congress Street

Lafayette, Louisiana 705016873

Presidential Bank
4520 East-West Highway
Bethesda, Maryland 20814

Mid-South Bank
102 Versailles Boulevard
Lafayette, Louisiana 70501

American Bank & Trust Company
1306 Camellia Boulevard
Lafayette, Louisiana 70508

Signed: Mr. Alan D. Hebert
Date Signed: 10/06/2009
Official Committee URL: www.charlesboustany.com

(End FEC FORM 1)

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