FEC Form 1 for Gary Miller for CongressForm 1 for Gary Miller for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773653

1. Gary Miller for Congress

721 S Brea Canyon Rd Ste 7
Diamond Bar, CA 91789
Email: millercampaigntreasurer@hotmail.com

2. Date: 04/06/2012

3. FEC Committee ID #: C00331496 This committee is a Principal Campaign Committee. Candidate: Hon. Gary G Miller
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 31

Affiliated Committees/Organizations

Patriot Day III
228 S Washington St Ste 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mr. Cathleen Miller
721 S Brea Canyon Rd Ste 7
Diamond Bar, CA 91789
Title: Treasurer
Phone # (909) 444-1761

Treasurer:

Cathleen Miller
721 S Brea Canyon Rd Ste 7
Diamond Bar, California 91789
Title: Treasurer
Phone # (909) 444-1761

Designated Agent(s):

Banks or Depositories

Capital Source Bank (formerly Fremont)
975 E. Birch Street
Brea, California 92821

Commercial Bank
695 Town Center Dr., Ste 100
Costa Mesa, California 92626

First California Bank
19752 MacArthur Blvd., Suite 100
Irvine, California 92612

One West Bank
225 North Barranca Street
West Covina, California 91791

US BANK
1175 S Grand Ave
Diamond Bar, California 91765

Signed: Cathleen Miller
Date Signed: 04/06/2012

(End FEC FORM 1)

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