FEC Form 1 for Crenshaw for Congress CampaignForm 1 for Crenshaw for Congress Campaign

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1037171

1. Crenshaw for Congress Campaign

7235 Bonneval Rd
Ste 228
Jacksonville, FL 322567506
Email: michele@crosbyott.com

NOTE: Email address is different than previously reported

2. Date: 12/21/2015

3. FEC Committee ID #: C00352849 This committee is a Principal Campaign Committee. Candidate: Ander Crenshaw
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 04

Affiliated Committees/Organizations

Friends of John and Ander
824 S Milledge Ave
Ste 101
Athens, Georgia 306051332
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00560391
Crenshaw Rooney Committee
824 S Milledge Ave
STE 101
Athens, Georgia 306051332
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Mr. Jay J. Alligood
7235 Bonneval Rd
Ste 228
Jacksonville, Florida 322567506
Title: Treasurer
Phone # (904) 281-0081

Designated Agent(s):

Banks or Depositories

Everbank
501 Riverside Avenue
Jacksonville, Florida 322024934

Suntrust
PO Box 4418
Atlanta, Georgia 303024418

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Mr. Jay J. Alligood
Date Signed: 12/21/2015
Official Committee URL: www.andercrenshaw.com

(End FEC FORM 1)

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