FEC Form 1 for Gingrey for Congress, Inc.Form 1 for Gingrey for Congress, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748447

1. Gingrey for Congress, Inc.

NOTE:Commmittee Name is different than previously reported

PO Box U
Marietta, GA 30060
Email: info@gingrey.com

2. Date: 09/23/2003

3. FEC Committee ID #: C00370783 This committee is a Principal Campaign Committee. Candidate: J. Phillip Gingrey
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 11

Affiliated Committees/Organizations

Committee ID# C00487884
Gingrey Victory Committee
2470 Daniell's Bridge Rd, Ste 121
Athens, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

William A. Gingrey
2520 Appalachee Drive
Atlanta, GA 30319
Title: Treasurer
Phone # (404) 408-5373

Treasurer:

William A. Gingrey
2520 Appalachee Drive
Atlanta, Georgia 30319
Title: Treasurer
Phone # (404) 408-5373

Designated Agent(s):

Banks or Depositories

Community Bank of the South
3016 Atlanta Road
Smyrna, Georgia 30080

First Landmark Bank
PO Box 5138
Marietta, Georgia 30061

SunTrust Bank
PO Box 4418
Atlanta, Georgia 30302

Heritage First Bank
PO Box 5184
Rome, Georgia 30162

River City Bank
228 N 2nd Ave SW
Rome, Georgia 30165

Community & Southern Bank
PO Box 1819
Ellijay, Georgia 30540

Westside Bank
56 Hiram Drive
Hiram, Georgia 30141

Bank of North Georgia
PO Box 1407
Alpharetta, Georgia 30009

Signed: William A. Gingrey
Date Signed: 10/14/2011
Official Committee URL: www.gingrey.com

(End FEC FORM 1)

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