FEC Form 1 for Gene Douglass for CongressForm 1 for Gene Douglass for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-46577

1. Gene Douglass for Congress

120 Fisherville Road
#179
Concord, NH 03303
Email: gene@douglass2002.org

2. Date: 08/13/2002

3. FEC Committee ID #: C00372250 This committee is a Principal Campaign Committee. Candidate: Mr. Eugene Douglass
Party: National
Office Sought: House of Representatives
State is New Hampshire in District: 2

Affiliated Committees/Organizations

Custodian of Records:

Mr. Eugene Douglass
120 Fisherville Road
#179
Concord, NH 03303
Title: Candidate
Phone # (603) 225-9206

Treasurer:

Mr. Eugene Douglass
120 Fisherville Road
#179
Concord, New Hampshire 03303
Title: Treasurer
Phone # (603) 225-9206

Designated Agent(s):

Banks or Depositories

Merrimack County Savings Bank
89 N Main St.
Concord, New Hampshire 03301

Wachovia Bank
100 N. Main St.
Winston-Salem, North Carolina 27150

Signed: Mr. Eugene Douglass
Date Signed: 08/13/2002
Official Committee URL: http://www.douglass2002.org

(End FEC FORM 1)

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