FEC Form 1 for Friends of Ginny Brown-WaiteForm 1 for Friends of Ginny Brown-Waite

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-261719

1. Friends of Ginny Brown-Waite

704 Ponce de Leon Blvd
Brooksville, FL 34601
Email: roger@rogerjacobscpa.com

2. Date: 12/05/2006

3. FEC Committee ID #: C00367680 This committee is a Principal Campaign Committee. Candidate: Virginia Brown-Waite
Party:
Office Sought: House of Representatives
State is Florida in District: 5

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Roger H Jacobs CPA
704 Ponce de Leon Blvd.
Brooksville, FL 34601
Title: Treasurer
Phone # (352) 796-8860

Treasurer:

Roger H Jacobs CPA
704 Ponce de Leon Blvd
Brooksville, Florida 34601
Title: Treasurer
Phone # (352) 796-8860

Designated Agent(s):

Lori A Sowers
704 Ponce de Leon Blvd
Brooksville, Florida 34601
Title: Asst. Treasurer
Phone # (352) 796-8860

Banks or Depositories

Cortez Community Bank
1000 S Broad St
Brooksville, Florida 34601

Signed: Roger H Jacobs
Date Signed: 12/05/2006

(End FEC FORM 1)

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