FEC Form 1 for Lewis For Congress CommitteeForm 1 for Lewis For Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-272081

1. Lewis For Congress Committee

P.O. Box 247
Redlands, CA 92373
Fax: 202-659-4953
Email: mgkelley@wms-jen.com

2. Date: 01/29/2007

3. FEC Committee ID #: C00090357 This committee is a Principal Campaign Committee. Candidate: Jerry Lewis
Party: National
Office Sought: House of Representatives
State is California in District: 41

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Meredith Kelley
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Asst. Treasurer
Phone # (202) 659-8201

Treasurer:

Dr. Robert Percy
2624H Glenmore
Highland, California 92346
Title: Treasurer
Phone # (202) 659-8201

Designated Agent(s):

Banks or Depositories

Security Bank of California
3403 Tenth Street
Suite 830
Riverside, California 92501

Computershare Trust Co. Inc.
2 North LaSalle Street
Chicago, Illinois 60602

Community Bank
200 E. Citrus Avenue
Redlands, California 92393

Wells Fargo Van Kasper Division
608 2nd Avenue South
Minneapolis, Minnesota 55479

Charles Schwab
101 Montgomery St.
San Francisco, California 94104

T. Rowe Price
PO Box 89000
Baltimore, Maryland 21289

Nollenberger Capital Partners
101 California Street
Suite 3150
San Francisco, California 94111

Signed: Dr. Robert Percy
Date Signed: 01/29/2007
Official Committee FAX: 202-659-4953

(End FEC FORM 1)

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