FEC Form 1 for DAN LIPINSKI FOR CONGRESSForm 1 for DAN LIPINSKI FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-889371

1. DAN LIPINSKI FOR CONGRESS

P.O. BOX 520
WESTERN SPRINGS, IL 60558
Email: lipinski@gmail.com

2. Date: 09/29/2013

3. FEC Committee ID #: C00405431 This committee is a Principal Campaign Committee. Candidate: DANIEL WILLIAM WILLIAM LIPINSKI
Party: Democratic Party
Office Sought: House of Representatives
State is Illinois in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jerome R. Hurckes
7036 West 96th Street
Oak Lawn, IL 604532013
Title: Treasurer
Phone # (708) 482-7065

Treasurer:

Jerome R. Hurckes
7036 West 96th Street
Oak Lawn, Illinois 604532013
Title: Treasurer
Phone # (708) 482-7065

Designated Agent(s):

Jerome R. Hurckes
7036 West 96th Street
Oak Lawn, Illinois 604532013
Title: Treasurer
Phone # (708) 482-7065

Banks or Depositories

Heartland Bank and Trust
4456 Wolf Road
Western Springs, Illinois 60558

State Bank of Countryside
6734 Joliet Road
Countryside, Illinois 60525

Burr Ridge Bank
7020 S. County Line Road
Willowbrook, Illinois 60527

Signed: Jerome R. Hurckes
Date Signed: 09/29/2013
Official Committee URL: lipinskiforcongress.com

(End FEC FORM 1)

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