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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-841324

1. SCOTT GARRETT FOR CONGRESS

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

2. Date: 12/10/2012

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

Affiliated Committees/Organizations

Committee ID# C00487066
Scott Garrett Victory Committee
2470 Daniell's Bridge Rd. Ste. 121
Athens, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Mr. Paul Kilgore
Professional Data Services, Inc.
2470 Daniell's Bridge Rd Ste. 121
Athens, Georgia 306066188
Title: Treasurer
Phone # (706) 534-7780

Designated Agent(s):

Banks or Depositories

Wells Fargo
301 S. College St.
Suite 4000
Charlotte, North Carolina 28288

Athens First Bank and Trust
150 W Hancock Avenue

Athens, Georgia 30603

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

Fidelity Bank
1045 South Milledge Ave #200
Athens, Georgia 30605

First American Bank
PO Box 168
Athens, Georgia 30601

Suntrust Bank
PO Box 4418
Atlanta, Georgia 30302

National Bank of Georgia
2234 W. Broad Street
Athens, Georgia 30606

Regions Bank
3153 Atlanta Hwy
Athens, Georgia 30606

State Farm Bank
PO Box 2316
Bloomington, Illinois 61702

Signed: Mr. Paul Kilgore
Date Signed: 12/10/2012
Official Committee URL: www.garrettforcongress.com

(End FEC FORM 1)

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