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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-95131

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1. Jim Davis For Congress

    P.O. Box 18143
    Tampa, FL 33679
    Fax: 813-348-3959
    Email: JimDavis@JimDavisforcongress.com

2. Date: 09/12/2003

3. FEC Committee ID #: C00317974 This committee is a Principal Campaign Committee. Candidate: James Oscar Davis
Party:
Office Sought: House of Representatives
State is Florida in District: 11

Affiliated Committees/Organizations

Custodian of Records:

Carol Delia
PO Box 18143
Tampa, FL 33679
Title: Campaign Director
Phone # (813) 451-4005

Treasurer:

Marc D. Sasser
PO Box 18143
Tampa, Florida 33679
Title: Treasurer

Designated Agent(s):

Banks or Depositories

SunTrust Bank
PO Box 622227
Orlando, Florida 328622227

Signed: Marc D. Sasser
Date Signed: 09/12/2003
Official Committee FAX: 813-348-3959

FORM TEXT

(End FEC FORM 1)

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