FEC Form 1 for PETERS FOR CONGRESSForm 1 for PETERS FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-441601

1. PETERS FOR CONGRESS

PO BOX 226
BLOOMFIELD HILLS, MI 48303
Email: GaryPeters@PetersForCongress.com

2. Date: 12/07/2009

3. FEC Committee ID #: C00437889 This committee is a Principal Campaign Committee. Candidate: GARY PETERS
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 09

Affiliated Committees/Organizations

Committee ID# C00461913
JARED POLIS VICTORY FUND
PO BOX 1174
SPRINGFIELD, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Geraldine Buckles
P.O. Box 226
Bloomfield Hills, MI 48303
Title: Treasurer

Treasurer:

Geraldine Buckles
P.O. Box 226
Bloomfield Hills, Michigan 48303
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Credit Union One
42886 Woodward Avenue
Bloomfield Hills, Michigan 48304

Bank of America
730 15th Street NW
Washington, DC 20005

Genisys Credit Union
P.O. Box 436034
Pontiac, Michigan 48343

Signed: Geraldine Buckles
Date Signed: 12/07/2009
Official Committee URL: www.petersforcongress.com

(End FEC FORM 1)

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