FEC Form 1 for Simmons For CongressForm 1 for Simmons For Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-169060

1. Simmons For Congress

P.O. Box 268 Drawer 271
Stonington, CT 06378
Fax: 860-536-4677
Email: Simmons2K@aol.com

2. Date: 04/01/2005

3. FEC Committee ID #: C00343921 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate: Rob Simmons
Party:
Office Sought: House of Representatives
State is Connecticut in District: 2

Affiliated Committees/Organizations

Committee ID# C00400861
2004 Joint Candidate Committee
228 S. Washington St. Ste. 340
Alexandria, Virginia 22314
Relationship: Jnt Cmt Represent

Custodian of Records:

Treasurer:

Anne Simeone
P.O. Box 268
Drawer 271
Stonington, Connecticut 06378
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Wachovia Bank
1753 Pinnacle Dr. 3rd Fl.
McLean, Virginia 22102

Signed: Anne Simeone
Date Signed: 04/01/2005
Official Committee URL: SimmonsForCongress.com
Official Committee FAX: 860-536-4677

(End FEC FORM 1)

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