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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-294955

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1. Courtney for Congress

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

2. Date: 07/15/2007

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

Affiliated Committees/Organizations

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: Treasurer

Treasurer:

Tim Poloski
38 Risley Road
Vernon, Connecticut 06066
Title: Treasurer

Designated Agent(s):

Matthew Gianquinto
38 Risley Road
Vernon, Connecticut 06066
Title: Deputy Finance Direc

Banks or Depositories

Rockville Bank
1645 Ellington Road
South Windsor, Connecticut 06074

Signed: Tim Poloski
Date Signed: 07/15/2007

(End FEC FORM 1)

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