FEC Form 1 for Bartlett for Congress CommitteeForm 1 for Bartlett for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-96329

1. Bartlett for Congress Committee

PO Box 280
Buckeystown, MD 21717
Fax: 3018745300

2. Date: 10/02/2003

3. FEC Committee ID #: C00255190 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought: House of Representatives
State is Maryland in District: 06

Affiliated Committees/Organizations

Custodian of Records:

Mrs. Ellen Bartlett
4317 Buckeystown Pike
Buckeystown, MD 21704
Phone # (301) 696-1139

Treasurer:

Robert Perry
7937 Hollow Road
Middletown, Maryland 21769

Designated Agent(s):

Banks or Depositories

Frederick County National Bank
30 W. Patrick St.
Frederick, Maryland 21701

Signed: Robert Perry
Date Signed: 10/02/2003
Official Committee FAX: 3018745300

(End FEC FORM 1)

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