FEC Form 1 for Mike Ross for Congress CommitteeForm 1 for Mike Ross for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749328

1. Mike Ross for Congress Committee

PO Box 360
Prescott, AR 71857
Email: mikeross@mikeross.com

NOTE: Email address is different than previously reported

2. Date: 10/17/2011

3. FEC Committee ID #: C00345710 This committee is a Principal Campaign Committee. Candidate: Michael A Ross
Party: Democratic Party
Office Sought: House of Representatives
State is Arkansas in District: 04

Affiliated Committees/Organizations

Custodian of Records:

Vickie L. Winpisinger
315 Inspiration Lane
Gaithersburg, MD 20878
Title: Treasurer
Phone # (301) 947-0278

Treasurer:

Vickie L. Winpisinger
315 Inspiration Lane
Gaithersburg, Maryland 20878
Title: Treasurer
Phone # (301) 947-0278

Designated Agent(s):

Banks or Depositories

Bank of Prescott
PO Box 490
Prescott, Arkansas 71857

Signed: Vickie L. Winpisinger
Date Signed: 10/17/2011

(End FEC FORM 1)

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