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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-173885

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1. Rick Renzi for Congress

    P.O. Box 2383
    Prescott, AZ 86302
    Fax: 8132533280
    Email: nwatkins@robertwatkins.com

2. Date: 05/13/2005

3. FEC Committee ID #: C00370874 This committee is a Principal Campaign Committee. Candidate: Richard G. Renzi
Party: National
Office Sought: House of Representatives
State is Arizona in District: 01

Affiliated Committees/Organizations

Custodian of Records:

Nancy H. Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Treasurer
Phone # (813) 254-3369

Treasurer:

Nancy H. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Treasurer
Phone # (813) 254-3369

Designated Agent(s):

Robert I. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Asst. Treasurer
Phone # (813) 254-3369

Banks or Depositories

Bank of Tampa
P. O. Box 1
Tampa, Florida 33601

Bank One
1484 S. Milton
Flagstaff, Arizona 86001

Signed: Nancy H. Watkins
Date Signed: 05/13/2005
Official Committee URL: www.rickrenzi.com
Official Committee FAX: 8132533280

(End FEC FORM 1)

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