FEC Form 1 for My Committee Nick Smith for Better GovernmentForm 1 for My Committee Nick Smith for Better Government

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-265103

1. My Committee Nick Smith for Better Government

12780 Addison Rd
Addison, MI 49220
Fax: 5175474567
Email: nick@nicksmithconsulting.com

2. Date: 12/10/2006

3. FEC Committee ID #: C00265157 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought: House of Representatives
State is Michigan in District: 7

Affiliated Committees/Organizations

Custodian of Records:

Nick Smith
12780 Addison Rd.
Addison, MI 49220

Treasurer:

Nick Smith
12780 Addison Rd.
Addison, Michigan 49220
Title: Candidate
Phone # (517) 547-5868

Designated Agent(s):

Banks or Depositories

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

Signed: Nick Smith
Date Signed: 12/10/2006
Official Committee FAX: 5175474567

(End FEC FORM 1)

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