FEC Form 1 for Ortiz for Congress CommitteeForm 1 for Ortiz for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-522326

1. Ortiz for Congress Committee

PO Box 7806
Corpus Christi, TX 78467
Email: ortiz4congress@yahoo.com

2. Date: 12/02/2010

3. FEC Committee ID #: C00149187 This committee is a Principal Campaign Committee. Candidate: Solomon P Ortiz
Party: Democratic Party
Office Sought: House of Representatives
State is Texas in District: 27

Affiliated Committees/Organizations

Committee ID# C00491225
TX27 Recount Fund
1831 Bay Street SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Carol Vasquez
PO Box 7806
Corpus Christi, TX 78467
Title: Custodian of Records
Phone # (361) 883-5708

Treasurer:

Adelfino Palacios
PO Box 7806
Corpus Christi, Texas 78467
Title: Treasurer
Phone # (361) 883-5708

Designated Agent(s):

Adria Palacios - Basquez
PO Box 7806
Corpus Christi, Texas 78467
Title: Assistant Treasurer
Phone # (361) 883-5708

Banks or Depositories

American Bank
100 American Bank Plaza
711 N Carancahua at Leopard
Corpus Christi, Texas 78475

Wells Fargo Bank
PO Box 1108

Robstown, Texas 78380

PNC Bank
1799 Columbia Road NW
Washington, DC 20009

Signed: Adelfino Palacios
Date Signed: 12/02/2010
Official Committee URL: http://www.ortizforcongress.com

(End FEC FORM 1)

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