FEC Form 1 for BOB ETHERIDGE FOR CONGRESS COMMITTEEForm 1 for BOB ETHERIDGE FOR CONGRESS COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-180757

1. BOB ETHERIDGE FOR CONGRESS COMMITTEE

POST OFFICE BOX 28001
RALEIGH, NC 27611
Fax: 9198217115

2. Date: 07/18/2005

3. FEC Committee ID #: C00311555 This committee is a Principal Campaign Committee. Candidate: Bob Etheridge
Party: National
Office Sought: House of Representatives
State is North Carolina in District: 02

Affiliated Committees/Organizations

Custodian of Records:

Andrea Bell
P.O. Box 28001
Raleigh, NC 27611
Title: Assistant Treasurer
Phone # (919) 821-9055

Treasurer:

Gardner Altman
P.O. Box 28001
Raleigh, North Carolina 27611
Title: Treasurer

Designated Agent(s):

Andrea Bell
P.O. Box 28001
Raleigh, North Carolina 27611
Title: Assistant Treasurer
Phone # (919) 821-9055

Banks or Depositories

New Century Bank
P.O. Box 1988
Dunn, North Carolina 28335

RBC Centura Bank
1100 West Broad Street
Dunn, North Carolina 28335

Signed: Andrea Bell
Date Signed: 07/18/2005
Official Committee URL: etheridgeforcongress.org
Official Committee FAX: 9198217115

(End FEC FORM 1)

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