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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-802598

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1. Jeff Miller for Congress

    P. O. Box 126
    Pensacola, FL 32591
    Email: nwatkins@robertwatkins.com

2. Date: 07/27/2012

3. FEC Committee ID #: C00366757 This committee is a Principal Campaign Committee. Candidate: Jefferson B. Miller
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 01

Affiliated Committees/Organizations

Committee ID# C00525659
Gulf Coast Victory Fund
610 S. Bouelvard
Tampa, Florida 33606
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Nancy H. Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Asst. Treasurer
Phone # (813) 254-3369

Treasurer:

Vicki Miller
P. O. Box 100
Milton, Florida 32572
Title: Treasurer
Phone # (850) 626-5616

Designated Agent(s):

Nancy H. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Asst. Treasurer
Phone # (813) 254-3369

Banks or Depositories

The Bank of Tampa
P. O. Box One
Tampa, Florida 33601

Signed: Nancy H. Watkins
Date Signed: 08/02/2012
Official Committee URL: www.jeffmillerforcongress.com

(End FEC FORM 1)

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