FEC Form 1 for SCOTT GARRETT FOR CONGRESSForm 1 for SCOTT GARRETT FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-121378

1. SCOTT GARRETT FOR CONGRESS

P.O. Box 905
Newton, NJ 07860
Fax: 9733009478
Email: info@garrettforcongress.com

2. Date: 05/27/2004

3. FEC Committee ID #: C00386110 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought: House of Representatives
State is New Jersey in District: 05

Affiliated Committees/Organizations

Custodian of Records:

Thornton Keel
23812 Tres Coronas
Spicewood, TX 78669
Title: Custodian of Records
Phone # (512) 264-3467

Treasurer:

Steven Ysais
84 Hyatt Road
Branchville, New Jersey 07826
Title: Treasurer
Phone # (973) 875-7637

Designated Agent(s):

Banks or Depositories

Lakeland Bank
250 Oak Ridge Road
Oak Ridge, New Jersey 07438

Signed: Steven Ysais
Date Signed: 05/27/2004
Official Committee URL: www.garrettforcongress.com
Official Committee FAX: 9733009478

(End FEC FORM 1)

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