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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-96197

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1. Charlie Dent for Congress

    PO Box 442
    Allentown, PA 18101
    Email: dent2004@ptd.net

2. Date: 09/30/2003

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

Nazareth National Bank
PO Box 112
Nazareth, Pennsylvania 18064


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

Signed: Jeffrey S. Berdahl
Date Signed: 09/30/2003

(End FEC FORM 1)

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