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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-40664

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1. Citizens for Gillmor

    P.O. Box 150
    Old Fort, OH 44861
    Email: votegillmor@aol.com

2. Date: 07/04/2002

3. FEC Committee ID #: C00223198 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought: House of Representatives
State is Ohio in District: 5

Affiliated Committees/Organizations

Custodian of Records:

Mr. Mark Wellman
621-B East Capitol Street SE
Washington, DC 200031234
Title: Treasurer
Phone # (202) 543-7848

Treasurer:

Mr. Mark Wellman
621-B East Capitol Street SE
Washington, DC 200031234
Title: Treasurer
Phone # (202) 543-7848

Designated Agent(s):

Banks or Depositories

Huntington National Bank
120 Madison Street
Port Clinton, Ohio 43452

Old Fort Banking Company
634 West Market Street
Tiffin, Ohio 44883

Signed: Mr. Mark Wellman
Date Signed: 07/04/2002

(End FEC FORM 1)

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