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FEC Form 1 for Max Burns for CongressForm 1 for Max Burns for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-93188


1. Max Burns for Congress

    P.O. Box 1965
    Sylvania, GA 30467

    NOTE: Address is different than previously reported

    Fax: 703 425 8352

2. Date: 08/06/2003

3. FEC Committee ID #: C00378448 This committee is a Principal Campaign Committee. Candidate: Max Burns
Party: National
Office Sought: House of Representatives
State is Georgia in District: 12

Affiliated Committees/Organizations

Custodian of Records:

Emelyn Hunter
111 Morningside Drive
Sylvania, GA 30467
Phone # (912) 564-2678

Treasurer:

Emelyn Hunter
111Morningside Dr.
Sylvania, Georgia 30467
Title: treasurer
Phone # (912) 564-2678

Designated Agent(s):

Susan F. Arceneaux
P.O. Box 373
Fairfax Station, Virginia 22032
Title: Assistant Treasurer
Phone # (703) 250-0496

Banks or Depositories

First National Bank
301 Mims Road
Sylvania, Georgia 30467

Sea Island Bank
2 East Main Street
Statesboro, Georgia 30458


Farmers & Merchants Bank
P.O. Box 559
Sylvania, Georgia 30467


Bank of Newington
107 West Ogeechee Street
Sylvania, Georgia 30467

Signed: Emelyn Hunter
Date Signed: 08/06/2003
Official Committee FAX: 703 425 8352

(End FEC FORM 1)


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