FEC Form 1 for TODD AKIN FOR CONGRESSForm 1 for TODD AKIN FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-104091

1. TODD AKIN FOR CONGRESS

PO BOX 31222
ST LOUIS, MO 63131
Fax: 6362078742

2. Date: 01/20/2004

3. FEC Committee ID #: C00343475 This committee is a Principal Campaign Committee. Candidate: Hon. Todd Akin
Party: National
Office Sought: House of Representatives
State is Missouri in District: 02

Affiliated Committees/Organizations

Custodian of Records:

Brouk Robbie
1073 Cedar Gulch X.
Robertsville, MO 63072
Title: Treasurer
Phone # (636) 207-7986

Treasurer:

Brouk Robbie
1073 Cedar Gulch X.
Robertsville, Missouri 63072
Title: Treasurer
Phone # (636) 207-7986

Designated Agent(s):

Mr. Andrew Gross
7242 Gayola Pl
St Louis, Missouri 63143
Title: Asst Treasurer
Phone # (636) 207-7986

Banks or Depositories

Commerce Bank
Box 419248
Kansas City, Missouri 64141

Signed: Brouk Robbie
Date Signed: 01/20/2004
Official Committee FAX: 6362078742

(End FEC FORM 1)

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