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FEC Form 1 for Jim Gerlach for Congress CommitteeForm 1 for Jim Gerlach for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-191371


1. Jim Gerlach for Congress Committee

    PO Box 87
    Uwchland, PA 194800087

    NOTE: Address is different than previously reported

    Fax: 610 458-7826
    Email: eve@jimgerlachforcongress.com

2. Date: 11/09/2005

3. FEC Committee ID #: C00372102 This committee is a Principal Campaign Committee. Candidate: Jim Gerlach
Party:
Office Sought: House of Representatives
State is Pennsylvania in District: 06

Affiliated Committees/Organizations

Pennsylvanians for a Republican Committee
PO Box 1721
Washington, DC 20013
Relationship: Joint Fundraising Committee

2005 Joint Candidate Committee (JCC)
228 S Washington Street
Suite 115
Alexandria, Virginia 22314
Relationship: Joint Fundraising Committee

Custodian of Records:

Mr. Michael DeHaven
PO Box 87
Uwchland, PA 194800087

Treasurer:

Mr. Michael DeHaven
PO Box 87
Uwchland, Pennsylvania 194800087
Title: Treasurer
Phone # (610) 458-9695

Designated Agent(s):

Mr. Mark Toolan
120 Lakeview Drive
Exton, Pennsylvania 193411523
Title: Assistant Treasurer
Phone number = 5940333

Banks or Depositories

First Financial Bank
100 East Lancaster Ave
Denningtown, Pennsylvania 19335

Wachovia Bank
1970 Chain Bridge Road
Mclean, Virginia 22102

Signed: Michael DeHaven CPA
Date Signed: 11/09/2005
Official Committee FAX: 610 458-7826

(End FEC FORM 1)


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