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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-113026

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1. Ottawa County Democratic Party

    PO Box 1792
    Holland, MI 494221792

    NOTE: Address is different than previously reported

    Fax: 6163963034
    Email: ottawadems@yahoo.com

2. Date: 07/22/2003

3. FEC Committee ID #: C00246348 This committee is a Democratic Party committee of the Local Party.

Affiliated Committees/Organizations

Michigan Democratic Party
606 Townsend
Lansing, Michigan 489332313
Relationship: Affiliated

Custodian of Records:

Suzanne M. Cloutier
378 Washington Blvd.
Holland, MI 494233346
Title: Treasurer
Phone # (616) 396-3034

Treasurer:

Suzanne M. Cloutier
378 Washington Blvd.
Holland, Michigan 494233346
Title: Treasurer
Phone # (616) 396-3034

Designated Agent(s):

Floyd Reimink
15540 Lake Michigan Drive
West Olive, Michigan 49460
Title: Assistant Treasurer
Phone # (616) 842-4269

Banks or Depositories

Flagstar Bank
301 W. Michigan Ave
Jackson, Michigan 492011312

Signed: Suzanne M. Cloutier
Date Signed: 03/26/2004
Official Committee FAX: 6163963034

(End FEC FORM 1)

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