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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-290044

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1. Kleeb for Congress

    1011 West 11th Street
    Hasting, NE 68901

2. Date: 06/04/2007

3. FEC Committee ID #: C00414656 This committee is a Principal Campaign Committee. Candidate: Scott Michael Kleeb
Party:
Office Sought: House of Representatives
State is Nebraska in District: 03

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

James Ziebarth
1011 West 11th Street
Hastings, Nebraska 68902

Designated Agent(s):

Banks or Depositories

Heritage Bank
800 West 3rd Street
Hastings, Nebraska 68902

Signed: James Ziebarth
Date Signed: 06/04/2007

(End FEC FORM 1)

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