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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-172531

1. Crenshaw for Congress Campaign

5345 Ortega Boulevard
Suite 1
Jacksonville, FL 322108443

2. Date: 04/21/2005

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

Affiliated Committees/Organizations

Custodian of Records:

Mr. William Scheu
1301 Riverplace Boulevard
Suite 1500
Jacksonville, FL 322079000

Treasurer:

Mr. William Scheu
1301 Riverplace Boulevard
Suite 1500
Jacksonville, Florida 322079000
Title: Treasurer
Phone # (904) 387-3419

Designated Agent(s):

Banks or Depositories

Signed: William Scheu
Date Signed: 04/21/2005

(End FEC FORM 1)

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