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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-425149

1. Michael Burgess for Congress

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

NOTE: Email address is different than previously reported

2. Date: 07/16/2009

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

NONE
-
-
-, Texas 00000

Custodian of Records:

Campaign Financial S ervices
7315 Wisconsin Avenue
Suite 310 East
Bethesda, MD 20814
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Robert Sherman
PO Box 2334
Denton, Texas 762022334
Title: Treasurer
Phone # (940) 484-8778

Designated Agent(s):

Banks or Depositories

Northstar Bank
PO Box 430
Denton, Texas 762020430

Presidential Bank
4520 East-West Highway
Bethesda, Maryland 20814

Wachovia Bank, N.A.
7901 Wisconsin Avenue
MD1010
Bethesda, Maryland 208143619

Signed: Robert Sherman
Date Signed: 07/16/2009
Official Committee URL: www.burgessforcongress.com

(End FEC FORM 1)

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