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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1100998

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1. Midland County Republican Committee

    5915 Eastman Ave
    Suite 100
    MIdland, MI 48640
    Email: medemajm@aol.com;kim.holzhauer@ahpplc.com

2. Date: 09/21/2016

3. FEC Committee ID #: C00626309 This committee is a Local committee of the Republican Party Party.

Affiliated Committees/Organizations

Committee ID# C00041160
MICHIGAN REPUBLICAN PARTY
520 SEYMOUR AVENUE
LANSING, Michigan 48933
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Jacqueline M Medema
4621 Forestview Dr
Midland, MI 48642
Title: Treasurer
Phone # (989) 835-8632

Treasurer:

Jacqueline M Medema
4621 Forestview Dr
Midland, Michigan 48642
Title: Treasurer
Phone # (989) 835-8632

Designated Agent(s):

Kim Holzhauer
5915 Eastman Ave
Suite 100
Midland, Michigan 48640
Title: Assistant Treasurer
Phone # (989) 835-7721

Banks or Depositories

Chemical Bank & Trust
333 E. Main Street
Midland, Michigan 48640

Signed: Jacqueline M Medema
Date Signed: 09/21/2016
Official Committee URL: www.midlandgop.org

(End FEC FORM 1)

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