FEC Form 1 for BROWN-WAITE FOR CONGRESSForm 1 for BROWN-WAITE FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-64253

1. BROWN-WAITE FOR CONGRESS

704 PONCE DE LEON BLVD
BROOKSVILLE, FL 34601

NOTE: Address is different than previously reported

Email: ginny4congress@aol.com

2. Date: 11/15/2002

3. FEC Committee ID #: C00367680 This committee is a Principal Campaign Committee. Candidate: Ginny Brown-Waite
Party: National
Office Sought: House of Representatives
State is Florida in District: 05

Affiliated Committees/Organizations

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

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

Banks or Depositories

Hernando County Bank
P.O. Box 10289
Brooksville, Florida 346030289

Signed: Roger Jacobs, CPA
Date Signed: 11/15/2002
Official Committee URL: www.brown-waitecongress.com

(End FEC FORM 1)

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