FEC Form 1 for Geoff Davis for CongressForm 1 for Geoff Davis for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-484760

1. Geoff Davis for Congress

PO Box 17192
Ft Mitchell, KY 41017
Email: GeoffDavisForCongress@gmail.com

2. Date: 07/27/2010

3. FEC Committee ID #: C00369470 This committee is a Principal Campaign Committee. Candidate: Geoffrey C. Davis
Party: Republican Party
Office Sought: House of Representatives
State is Kentucky in District: 04

Affiliated Committees/Organizations

NONE
, ____
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kevin Broghamer
PO Box 17192
Ft Mitchell, KY 41017
Title: Treasurer
Phone # (859) 426-7760

Treasurer:

Kevin Broghamer
PO Box 17192
Ft Mitchell, Kentucky 41017
Title: Treasurer
Phone # (859) 426-7760

Designated Agent(s):

Mr. James E. Wilson, Jr.
PO Box 17192
Ft Mitchell, Kentucky 41017
Title: Assistant Treasurer
Phone # (859) 426-7760

Banks or Depositories

Heritage Bank
1818 Florence Pike
Burlington, Kentucky 410057933

PNC Bank
8810 US Highway 42
Florence, Kentucky 410428851

Signed: Kevin Broghamer
Date Signed: 07/27/2010
Official Committee URL: http://www.GeoffDavisForCongress.com/

(End FEC FORM 1)

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