FEC Form 1 for Shelley Moore Capito for CongressForm 1 for Shelley Moore Capito for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-290269

1. Shelley Moore Capito for Congress

P.O. Box 11519
Charleston, WV 25339
Fax: 304-342-0255
Email: marypayne@verizon.net

2. Date: 06/05/2007

3. FEC Committee ID #: C00347849 This committee is a Principal Campaign Committee. Candidate: Shelley Moore Capito
Party: National
Office Sought: House of Representatives
State is West Virginia in District: 2

Affiliated Committees/Organizations

Physicians to Retain Our Majority
228 S Washington St Ste. 115
Alexandria, Virginia 22314
Relationship: Joint Fundraising Representative

Custodian of Records:

Mary J. Payne
1414 Louden Heights Road
Charleston, WV 25314
Title: Assistant Treasurer
Phone # (304) 344-0881

Treasurer:

Reed Spangler
1959 Parkwood Roqd
Charleston, West Virginia 253142532
Title: Treasurer
Phone # (304) 346-4030

Designated Agent(s):

Banks or Depositories

Chase
1001 Bridge Road
Charleston, West Virginia 25314

Signed: Reed Spangler
Date Signed: 06/05/2007
Official Committee FAX: 304-342-0255

(End FEC FORM 1)

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