FEC Form 1 for Michael Burgess for CongressForm 1 for Michael Burgess for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1203243

1. Michael Burgess for Congress

PO Box 2334
Denton, TX 762022334
Email: info@campaignfinancial.com

2. Date: 01/31/2018

3. FEC Committee ID #: C00372532 This committee is a Principal Campaign Committee. Candidate: Dr. Michael C. Burgess
Party: Republican Party
Office Sought: House of Representatives
State is Texas in District: 26

Affiliated Committees/Organizations

Committee ID# C00663302
Care America
PO Box 30844
Bethesda, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Campaign Financial Services
PO Box 30844
Bethesda, MD 208240844
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Steven G. Martin, Jr.
PO Box 30844
Bethesda, Maryland 208240844
Title: Treasurer
Phone # (301) 654-3220

Designated Agent(s):

Banks or Depositories

NorthStar Bank
PO Box 430
Denton, Texas 76202

Presidential Bank
4520 East-West Highway
Bethesda, Maryland 20814

Wells Fargo Bank
1500 Broadway Street
Lubbock, Texas 79401

Signed: Steven G. Martin, Jr.
Date Signed: 01/31/2018
Official Committee URL: www.burgessforcongress.com

(End FEC FORM 1)

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