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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-412884

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1. John Tierney for Congress

    49 Federal Street
    Salem, MA 01970
    Email: fec@johntierney.com

2. Date: 04/15/2009

3. FEC Committee ID #: C00318196 This committee is a Principal Campaign Committee. Candidate: Mr. John F Tierney
Party: Democratic Party
Office Sought: House of Representatives
State is Massachusetts in District: 06

Affiliated Committees/Organizations

Custodian of Records:

Mr. Roy F Gelineau, Jr.
49 Federal Street
Salem, MA 01970
Title: Treasurer
Phone # (978) 740-2002

Treasurer:

Mr. Roy F Gelineau, Jr.
49 Federal Street
Salem, Massachusetts 01970
Title: Treasurer
Phone # (978) 741-2002

Designated Agent(s):

Mr. Kevin Tierney
12 Hussey Ave
Danvers, Massachusetts 01923
Title: Assistant Treasurer
Phone # (978) 531-2533

Banks or Depositories

Institution for Savings
Depot Square
PO Box 32
Ipswitch, Massachusetts 019380032

Danversbank
One Conant Street

Danvers, Massachusetts 01923

Signed: Mr. Roy F Gelineau, Jr.
Date Signed: 04/15/2009
Official Committee URL: http://www.johntierney.com

(End FEC FORM 1)

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