FEC Form 1 for Tom Allen for Congress CommitteeForm 1 for Tom Allen for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-196020

1. Tom Allen for Congress Committee

P.O. Box 17766
Portland, ME 041128766

NOTE: Address is different than previously reported

Fax: 2077747096
Email: finance@tomallen.org

2. Date: 01/13/2006

3. FEC Committee ID #: C00328245 This committee is a Principal Campaign Committee. Candidate: Thomas H Allen
Party: National
Office Sought: House of Representatives
State is Maine in District: 1

Affiliated Committees/Organizations

Custodian of Records:

Jean Gulliver
23 Thornhurst Road
Falmouth, ME 04105
Title: Assistant Treasurer
Phone # (207) 781-3121

Treasurer:

Robert E. Mitchell
Macdonald Page
P.O. Box 1071
Augusta, Maine 043321071
Title: Treasurer
Phone # (207) 622-4766

Designated Agent(s):

Jean Gulliver
23 Thornhurst Road
Falmouth, Maine 04105
Title: Assistant Treasurer
Phone # (207) 781-3121

Banks or Depositories

Bank of America
One City Center
Portland, Maine 04101

Signed: Robert E. Mitchell
Date Signed: 01/13/2006
Official Committee URL: http://www.tomallen.org
Official Committee FAX: 2077747096

(End FEC FORM 1)

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