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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-716584

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1. Robert Hurt for Congress

    PO Box 8
    Chatham, VA 245310008

    NOTE: Address is different than previously reported

    Email: john@forestcs.com

2. Date: 03/10/2011

3. FEC Committee ID #: C00468405 This committee is a Principal Campaign Committee. Candidate: ROBERT HURT
Party: Republican Party
Office Sought: House of Representatives
State is Virginia in District: 05

Affiliated Committees/Organizations

Committee ID# C00493817
TEAM 2012
228 S WASHINGTON ST STE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

John G. Selph
PO Box 71596
Richmond, VA 232551596
Title: Treasurer
Phone # (804) 270-0791

Treasurer:

John G. Selph
PO Box 71596
Richmond, Virginia 232551596
Title: Treasurer
Phone # (804) 270-0791

Designated Agent(s):

Banks or Depositories

Bank of America
8001 Patterson Ave
Richmond, Virginia 23229

BB&T Bank
1909 K Street NW
Washington, DC 20006

Signed: John G. Selph
Date Signed: 03/10/2011
Official Committee URL: www.roberthurtforcongress.com

(End FEC FORM 1)

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