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FEC Form 1 for Dan Burton for Congress CommitteeForm 1 for Dan Burton for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-451921


1. Dan Burton for Congress Committee

    P.O. Box 50593
    Indianapolis, IN 46250
    Email: elizabeth.a.tapia@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 12/22/2009

3. FEC Committee ID #: C00145862

Affiliated Committees/Organizations

Custodian of Records:

Elizabeth A. Tapia
8134 E. 50th Street
Indianapolis, IN 46226
Title: Secretary
Phone # (317) 546-5673

Treasurer:

Curtis L. Coonrod
5664 Caito Drive
Indianapolis, Indiana 46226
Title: Treasurer
Phone # (317) 562-4920

Designated Agent(s):

Curtis L. Coonrod
5664 Caito Drive
Indianapolis, Indiana 46226
Title: Treasurer
Phone # (317) 562-4920

Elizabeth Tapia
8134 E. 50th Street
Indianapolis, Indiana 46226
Phone # 0

Banks or Depositories

First Internet Bank of Indiana
8520 Allison Point Blvd., #210
Indianapolis, Indiana 0

Chase Bank
108 N. Pennsylvania Street
Indianapolis, Indiana 46227

Signed: Curtis L. Coonrod
Date Signed: 12/22/2009

(End FEC FORM 1)


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