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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-113033

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1. Charlie Dent for Congress

    PO Box 442
    Allentown, PA 18105
    Email: dent2004@ptd.net

2. Date: 03/27/2004

3. FEC Committee ID #: C00386847 This committee is a Principal Campaign Committee. Candidate: Charles W. Dent
Party: National
Office Sought: House of Representatives
State is Pennsylvania in District: 15

Affiliated Committees/Organizations

Custodian of Records:

Jeff Berdahl
230 Hopewell Drive
Allentown, PA 18104
Title: Treasurer
Phone # (610) 530-0594

Treasurer:

Jeffrey S. Berdahl
230 Hopewell Drive
Allentown, Pennsylvania 18104
Title: Treasurer
Phone # (610) 530-0594

Designated Agent(s):

Banks or Depositories

American Bank
4029 West Tilghman Street
Allentown, Pennsylvania 181044400

Signed: Jeffrey S. Berdahl
Date Signed: 03/27/2004
Official Committee URL: dent2004.com

(End FEC FORM 1)

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