FEC Form 1 for WV State Democratic Executive CommitteeForm 1 for WV State Democratic Executive Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-807268

1. WV State Democratic Executive Committee

717 LEE STREET
SUITE 214
Charleston, WV 25301
Email: derek@wvdemocrats.com

2. Date: 08/23/2012

3. FEC Committee ID #: C00162578 This committee is a State committee of the Democratic Party Party.

Affiliated Committees/Organizations

Committee ID# C00010603
Democratic National Committee - Victory Fund
430 S. Capitol St. SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00073791
DOLLARS FOR DEMOCRATS
C/O MEYER ASSOCIATES TELESERVICES
14 SEVENTH AVE., NORTH
ST. CLOUD, Minnesota 56303
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00527374
Manchin Victory 2012
PO Box 5202
Charleston, West Virginia 25361
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Derek Scarbro
717 Lee Street
Ste. 214
Charleston, WV 25301
Title: Executive Director
Phone # (304) 342-8121

Treasurer:

Jerry Brookover
PO Box 280
Elizabeth, West Virginia 26143
Title: Treasurer
Phone # (304) 275-4314

Designated Agent(s):

Annjeanette Vealey
Smith Cochran & Hicks PLLC
405 Capitol Street Ste. 908
Charleston, West Virginia 25301
Title: Accountant
Phone # (304) 345-1151

Banks or Depositories

Chase
1625 Washington St. E.
Charleston, West Virginia 25311

Signed: Jerry Brookover
Date Signed: 08/23/2012
Official Committee URL: www.wvdemocrats.com

(End FEC FORM 1)

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