FEC Form 1 for Blum for CongressForm 1 for Blum for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1028179

1. Blum for Congress

2728 Asbury Road Suite 400
Dubuque, IA 52001
Email: admin@rodblum.com

2. Date: 10/14/2015

3. FEC Committee ID #: C00543926 This committee is a Principal Campaign Committee. Candidate: Rodney Blum
Party: Republican Party
Office Sought: House of Representatives
State is Iowa in District: 01

Affiliated Committees/Organizations

Committee ID# C00586495
Friends of Chuck & Rod
PO Box 25132
St. Paul, Minnesota 55125
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Edward Graham
2728 Asbury Road, Suite 400
Dubuque, IA 52001
Title: Treasurer

Treasurer:

Edward Graham
2728 Asbury Road, Ste 400
Dubuque, Iowa 52001
Title: Treasurer

Designated Agent(s):

Banks or Depositories

American Trust Bank
895 Main St
Dubuque, Iowa 52001

US Bank
7620 10th St N
St Paul, Minnesota 55128

Signed: Edward Graham
Date Signed: 10/14/2015

(End FEC FORM 1)

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