FEC Form 1 for GEOFF DAVIS FOR CONGRESSForm 1 for GEOFF DAVIS FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-184095

1. GEOFF DAVIS FOR CONGRESS

3161 Dixie Highway
Suite F
Erlanger, KY 410181841

2. Date: 08/09/2005

3. FEC Committee ID #: C00369470 This committee is a Principal Campaign Committee. Candidate: Geoffrey C Davis
Party:
Office Sought: House of Representatives
State is Kentucky in District: 4

Affiliated Committees/Organizations

KY-04 Congressional Victory Committee
PO Box 40386
Washington, DC 20016
Relationship: Joint Fundraiser

2004 Joint Candidate Committee II
228 S Washington Street
Suite 115
Alexandria, Virginia 22314
Relationship: Joint Fundraiser

Custodian of Records:

Joe Green
10568 Cheshire Ridge Drive
Florence, KY 410424723

Treasurer:

Joe Green
10568 Cheshire Ridge Drive
Florence, Kentucky 410424723
Title: Treasurer
Phone # (859) 746-8617

Designated Agent(s):

Banks or Depositories

James Monroe Bank
3033 Wilson Blvd
Arlington, Virginia 22201

Wachovia Bank
1970 Chain Bridge Road
Mclean, Virginia 22102

Signed: Joe Green
Date Signed: 08/09/2005

(End FEC FORM 1)

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