FEC Form 1 for Keller For CongressForm 1 for Keller For Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266422

1. Keller For Congress

P.O. Box 1453
Orlando, FL 32802
Fax: 407-447-0909
Email: kellerforcongress@YAHOO.COM

2. Date: 12/30/1999

3. FEC Committee ID #: C00345090 This committee is a Principal Campaign Committee. Candidate: Richard A. Keller
Party: National
Office Sought: House of Representatives
State is Florida in District: 8

Affiliated Committees/Organizations

Committee ID# C00428813
Physicians to Retain Our Majority (PROM)
228 S. Washington Street
Suite 115
Alexandria, Virginia 22314
Relationship: Affiliated

Custodian of Records:

Cheryl Mills
P.O. Box 1453
Orlando, FL 32802
Title: Treasurer
Phone # (407) 447-0905

Treasurer:

Cheryl Mills
P.O. Box 1453
Orlando, Florida 32802
Title: Treasurer
Phone # (407) 447-0905

Designated Agent(s):

Banks or Depositories

Suntrust Bank Central Florida
Suntrust Center Office P.O. Box
Orlando, Florida 32862

Signed: Cheryl Mills
Date Signed: 12/22/2006
Official Committee FAX: 407-447-0909

(End FEC FORM 1)

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