FEC Form 1 for JERRY WELLER FOR CONGRESS INC.Form 1 for JERRY WELLER FOR CONGRESS INC.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-195127

1. JERRY WELLER FOR CONGRESS INC.

P.O. Box 2368
Joliet, IL 60434

NOTE: Address is different than previously reported

Email: weller4congress@hotmail.com

2. Date: 01/04/2006

3. FEC Committee ID #: C00364349 This committee is a Principal Campaign Committee. Candidate: GERALD C JERRY WELLER
Party: National
Office Sought: House of Representatives
State is Illinois in District: 11

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Roger C. Forcash
PO Box 2368
Joliet, IL 60434
Title: Treasurer

Treasurer:

Roger C. Forcash
PO Box 2368
Joliet, Illinois 60434
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Grundy County National Bank
201 Liberty Street
Morris, Illinois 60450

Signed: Roger C. Forcash
Date Signed: 01/04/2006
Official Committee URL: N/A

(End FEC FORM 1)

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