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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-247682

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1. Courtney for Congress

    38 Risley Road
    Vernon, CT 06066
    Fax: 8608960153
    Email: ivy@joecourtney.com

2. Date: 10/21/2006

3. FEC Committee ID #: C00410233 This committee is a Principal Campaign Committee. Candidate: Joseph D. Courtney
Party:
Office Sought: House of Representatives
State is Connecticut in District: 2

Affiliated Committees/Organizations

Committee ID# c00427112
Connecticut for Change
51 Holmes Avenue
Ground Floor
Waterbury, Connecticut 06710
Relationship: Joint Fundraising Committee

Custodian of Records:

Tim Poloski
38 Risley Road
Vernon, CT 06066
Title: Deputy Treasurer
Phone # (860) 896-1579

Treasurer:

Patrick Tallarita
38 Risley Road
Vernon, Connecticut 06066
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Rockville Bank
1645 Ellington Road
South Windsor, Connecticut 06074

Signed: Patrick Tallarita
Date Signed: 10/21/2006
Official Committee FAX: 8608960153

(End FEC FORM 1)

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