FEC Form 1 for FRIENDS OF LANE EVANS COMMITTEEForm 1 for FRIENDS OF LANE EVANS COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-215208

1. FRIENDS OF LANE EVANS COMMITTEE

1800 3RD AVENUE SUITE 216
PO BOX 5263
ROCK ISLAND, IL 61201
Fax: 3097885274
Email: lane@laneevans.com

2. Date: 05/01/2006

3. FEC Committee ID #: C00146779 This committee is a Principal Campaign Committee. Candidate: Lane A. Evans
Party:
Office Sought: House of Representatives
State is Illinois in District: 17

Affiliated Committees/Organizations

Custodian of Records:

Teresa Kurtenbach
1800 3rd Ave Suite 216
Rock Island, IL 61201
Title: Asst. Treasurer

Treasurer:

Sam Gilman
305 1st Ntl. Bldg
Rock Island, Illinois 61201
Title: Treasurer

Designated Agent(s):

Teresa Kurtenbach
1800 3rd Ave Suite 216
Rock Island, Illinois 61201
Title: Asst. Treasurer

Banks or Depositories

American Bank
1600 4th Ave
Rock Island, Illinois 61201

Signed: Sam Gilman
Date Signed: 05/01/2006
Official Committee FAX: 3097885274

(End FEC FORM 1)

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