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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-73375

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1. JD Hayworth For Congress

    14300 N. Northsight Blvd. #105
    Scottsdale, AZ 85260

    NOTE: Address is different than previously reported

    Email: jdmoney99@aol.com

2. Date:

3. FEC Committee ID #: C00287987 This committee is a Principal Campaign Committee. Candidate: JD Hayworth
Party: National
Office Sought: House of Representatives
State is Arizona in District: 5

Affiliated Committees/Organizations

Custodian of Records:

Kirk Knight
2737 Cohasset Road Suite A
Chico, CA 95973
Title: Treasurer
Phone # (530) 894-6567

Treasurer:

Kirk Knight
2732 Cohasset Road Suite A
Chico, California 95973
Title: Treasurer
Phone # (530) 894-6567

Designated Agent(s):

Kirk Knight
2732 Cohasset Road Suite A
Chico, California 95973
Title: Treasurer
Phone # (530) 894-6567

Banks or Depositories

Signed: Kirk Knight
Date Signed: 01/31/2003
Official Committee URL: www.jdhayworth.com

(End FEC FORM 1)

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