FEC Form 1 for Melissa Gilbert for CongressForm 1 for Melissa Gilbert for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1059164

1. Melissa Gilbert for Congress

PO Box 2065
Brighton, MI 48116
Email: info@gilbertformichigan.com;janica@pcmsllc.com

2. Date: 04/09/2016

3. FEC Committee ID #: C00583294 This committee is a Principal Campaign Committee. Candidate: Melissa Gilbert
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 08

Affiliated Committees/Organizations

Committee ID# C00614149
Gilbert Victory Fund 2016
1050 17th ST NW Ste 590
Washington, DC 20036
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Janica Kyriacopoulos
1050 17th ST NW Ste 590
Washington, DC 20036
Title: Asst. Treasurer
Phone # (202) 628-1580

Treasurer:

Karrie Martin
PO Box 2065
Brighton, Michigan 48116
Title: Treasurer
Phone # (248) 761-3393

Designated Agent(s):

Banks or Depositories

Bank of America, NA
1801 K St NW
Washington, DC 20006

Signed: Karrie Martin
Date Signed: 04/09/2016
Official Committee URL: www.gilbertformichigan.com

(End FEC FORM 1)

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