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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-84056

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1. Michael Burgess for Congress

    P.O. Box 2334
    Denton, TX 76202

    NOTE: Address is different than previously reported

    Email: burgesscampaign@hotmail.com

2. Date: 05/05/2003

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

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Robert Sherman
P.O. Box 2334
Denton, Texas 76202
Title: Treasurer
Phone # (940) 320-5020

Designated Agent(s):

Banks or Depositories

Northstar Bank
P.O. Box 430
Denton, Texas 76201

First Security Bank
1801 Cross Timbers
Flower Mound, Texas 75028

Signed: Robert Sherman
Date Signed: 05/05/2003
Official Committee URL: www.doctorinthehouse.info940-320-5021

(End FEC FORM 1)

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