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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-95732

1. Stupak for Congress

P.O. Box 143
Menominee, MI 49858
Fax: 9068632187
Email: bstupak@new.rr.com

2. Date: 09/19/2003

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:

Kenneth Jones
P.O. Box 5
Menominee, Michigan 49858
Title: Treasurer
Phone # (906) 863-9790

Designated Agent(s):

Banks or Depositories

Signed: Kenneth Jones
Date Signed: 09/19/2003
Official Committee URL: www.stupak4congress.org
Official Committee FAX: 9068632187

(End FEC FORM 1)

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