FEC Form 1 for Moran for KansasForm 1 for Moran for Kansas

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-364104

1. Moran for Kansas

P.O. Box 1151
Hays, KS 67601
Fax: 785-527-2727
Email: t_gottschalk@gottschalkcpas.com

2. Date: 09/24/2008

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

Affiliated Committees/Organizations

Custodian of Records:

Timothy E Gottschalk
1903 N Street
P O Box 541
Belleville, KS 66935
Title: Treasurer
Phone # (785) 527-5631

Treasurer:

Timothy E. Gottschalk
1903 N Street
P O Box 541
Belleville, Kansas 66935
Title: Treasurer
Phone # (785) 527-5631

Designated Agent(s):

Banks or Depositories

Astra Bank
PO Box 10
Belleville, Kansas 66935

Farmers Bank & Trust
PO Box 267
LaCrosse, Kansas 67548

Commerce Bank
PO Box 637
Wichita, Kansas 67201

Nekoma State Bank of Lacrosse
PO Box 10
Lacrosse, Kansas 67548

Signed: Timothy E Gottschalk
Date Signed: 09/24/2008
Official Committee FAX: 785-527-2727

(End FEC FORM 1)

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