FEC Form 1 for Nick Smith For Congress CommitteeForm 1 for Nick Smith For Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-100654

1. Nick Smith For Congress Committee

2545 Spring Arbor Road
P.O. Box 39
Jackson, MI 492040039

NOTE: Address is different than previously reported

Fax: 5177889872
Email: barba@willispc.com

2. Date: 08/26/2003

3. FEC Committee ID #: C00265157 This committee is a Principal Campaign Committee. Candidate: Nick Smith
Party: National
Office Sought: House of Representatives
State is Michigan in District: 07

Affiliated Committees/Organizations

Custodian of Records:

Richard T. Schefferly
2545 Spring Arbor Road
P.O. Box 39
Jackson, MI 492040039
Title: CPA and Principal
Phone # (517) 788-8660

Treasurer:

Phil S. Willis
2545 Spring Arbor Road
P.O. Box 39
Jackson, Michigan 492040039
Title: CPA and Principal
Phone # (517) 788-8660

Designated Agent(s):

Banks or Depositories

Citizens Bank
One Jackson Square
100 E. Michigan Ave.
Jackson, Michigan 49201

Signed: Phil S. Willis
Date Signed: 11/26/2003
Official Committee URL: http://www.house.gov/nicksmith/
Official Committee FAX: 5177889872

(End FEC FORM 1)

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