FEC Form 1 for The Richard Burr CommitteeForm 1 for The Richard Burr Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-77738

1. The Richard Burr Committee

Post Office Box 5928
Winston-Salem, NC 27113

2. Date: 02/21/2003

3. FEC Committee ID #: C00256115 This committee is a Principal Campaign Committee. Candidate: Richard Burr
Party: National
Office Sought: Senate
State is North Carolina in District: 05

Affiliated Committees/Organizations

Custodian of Records:

Treasurer

Treasurer:

Timothy W. Gupton
Post Office Box 5928
Winston-Salem, North Carolina 271135928
Title: Treasurer
Phone # (336) 777-1170

Designated Agent(s):

Banks or Depositories

BB&T
110 South Stratford Road
Winston-Salem, North Carolina 27104

Signed: Timothy W. Gupton
Date Signed: 02/21/2003

(End FEC FORM 1)

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