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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-101502

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1. Moran for Kansas

    P.O. Box 1151
    Hays, KS 67601
    Fax: 785-222-2465
    Email: dandtcpa@gbta.net

2. Date: 12/15/2003

3. FEC Committee ID #: C00312090 This committee is a Principal Campaign Committee. Candidate: Jerry Moran
Party: National
Office Sought: House of Representatives
State is Kansas in District: 01

Affiliated Committees/Organizations

Custodian of Records:

Thomas V. Dechant
802 Main
P.O. Box 280
LaCrosse, KS 67548
Title: Treasurer
Phone # (785) 222-2537

Treasurer:

Thomas V. Dechant
802 Main - P.O. Box 280
La Crosse, Kansas 67548
Title: Treasurer
Phone # (785) 222-2537

Designated Agent(s):

Rodney E. Taylor
802 Main
LaCrosse, Kansas 67548
Title: Assistant Treasurer
Phone # (785) 222-2537

Banks or Depositories

Nekoma State Bank
801 Main
P.O. Box 10
LaCrosse, Kansas 67548

Farmers Bank & Trust
P.O. Box 267
LaCrosse, Kansas 67548

Signed: Thomas V. Dechant
Date Signed: 12/15/2003
Official Committee FAX: 785-222-2465

(End FEC FORM 1)

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