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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-96296

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1. Friends of Jerry Kleczka

    3150A S. 12th Street
    Milwaukee, WI 53215
    Email: heinwerner@aol.com

2. Date: 10/02/2003

3. FEC Committee ID #: C00174052 This committee supports/opposes only one candidate and is NOT an Authorized Committee. Candidate Name: Jerry Kleczka

Affiliated Committees/Organizations

Committee ID# C00174052
Friends of Jerry Kleczka
3150A S 12th St
Milwaukee, Wisconsin 53215
Relationship: Candidate

Custodian of Records:

Jerry Kleczka
3150A South 12th St
Milwaukee, WI 53215
Title: Assistant Treasurer
Phone # (414) 217-7669

Treasurer:

K.A. Hein
3316 S 7th St
Milwaukee, Wisconsin 53215
Title: Treasurer
Phone # (414) 217-7669

Designated Agent(s):

Jerry Kleczka
3150A S 12th St
Milwaukee, Wisconsin 53215
Title: Assistant Treasurer
Phone # (414) 217-7669

Banks or Depositories

Lincoln State Bank
2266 S 13th St
Milwaukee, Wisconsin 53215

Signed: K.A. Hein
Date Signed: 10/02/2003

(End FEC FORM 1)

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