FEC Form 1 for Stupak for CongressForm 1 for Stupak for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-107656

1. Stupak for Congress

P.O. Box 156
Menominee, MI 49858

NOTE: Address is different than previously reported

Fax: 9068632187
Email: bstupak@new.rr.com

2. Date: 01/31/2004

3. FEC Committee ID #: C00270140 This committee is a Principal Campaign Committee. Candidate: Bart T. Stupak
Party: National
Office Sought: House of Representatives
State is Michigan in District: 1

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Laurie Stupak
P.O. Box 156
Menominee, Michigan 49858
Title: Treasurer
Phone # (906) 863-2800

Designated Agent(s):

Banks or Depositories

Signed: Laurie Stupak
Date Signed: 01/31/2004
Official Committee URL: www.stupak4congress.org
Official Committee FAX: 9068632187

(End FEC FORM 1)

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