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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1013139

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1. Terry Baker for Congress

    P.O. Box 4166
    Hagerstown, MD 21741
    Email: campaign@tbakermd6.com;jerry@tbakermd6.com

2. Date: 07/10/2015

3. FEC Committee ID #: C00580902 This committee is a Principal Campaign Committee. Candidate: Terry Baker
Party: Republican Party
Office Sought: House of Representatives
State is Maryland in District: 06

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Wayne K. Keefer
209 Baptist Road
Hancock, MD 21750
Title: Treasurer
Phone # (240) 643-6735

Treasurer:

Wayne K. Keefer
209 Baptist Road
Hancock, Maryland 21750
Title: Treasurer
Phone # (240) 643-6735

Designated Agent(s):

Jeremiah (Jerry) DeWolf
4709 Mt Briar Road
Keedysville, Maryland 21756
Title: Campaign Manager
Phone # (860) 823-7970

Banks or Depositories

M&T Bank
121 South Mill Street
P.O. Box 485
Clear Spring, Maryland 21722

Signed: Wayne K. Keefer
Date Signed: 07/10/2015
Official Committee URL: www.terrybakerforcongress.com

(End FEC FORM 1)

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