FEC Form 1 for Charlie Dent for CongressForm 1 for Charlie Dent for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-132710

1. Charlie Dent for Congress

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

2. Date: 08/25/2004

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

2004 Joint Candidate Committee II
228 S. Washington Streeet
Suite 115
Alexandria, Virginia 22814
Relationship: Joint Committee Participant

Custodian of Records:

Jeffrey S. 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):

Shawn D. Millan
5405 Snowdrift Road
Orefield, Pennsylvania 18069
Title: Assistant Treasurer
Phone # (610) 398-1476

Banks or Depositories

American Bank
4029 West Tilghman Street
Allentown, Pennsylvania 181044400

Nazareth National Bank
PO Box 112
Nazareth, Pennsylvania 18064

Embassy Bank For the Lehigh Valley
PO Box 20405
Lehigh Valley, Pennsylvania 18002

Wachovia Bank
100 N. Main St.
Winston-Salem, North Carolina 27150

Wachovia Bank
1753 Pinnacle Dr. 3rd Fl
McLean, Virginia 22102

Signed: Jeffrey S. Berdahl
Date Signed: 08/25/2004
Official Committee URL: dent2004.com

(End FEC FORM 1)

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