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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-107476

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1. Kobach for Congress

    Post Office Box 12224
    Overland Park, KS 66282
    Email: teamkobach@kobachforcongress.com

2. Date: 02/02/2004

3. FEC Committee ID #: C00389346 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought: House of Representatives
State is Kansas in District: 3

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Angela Kemp
19635 West 97th Street
Lenexa, Kansas 66220
Title: Treasurer
Phone # (913) 481-4056

Designated Agent(s):

Banks or Depositories

Wachovia Bank
100 N. Main St.
Winstom-Salem, Wisconsin 27150

Security Savings Bank
11599 Ridgeview Rd.
C/O Donald Bell Sr.
Olathe, Kansas 66061

Signed: Angela Kemp
Date Signed: 02/02/2004
Official Committee URL: www.kobachforcongress.com

(End FEC FORM 1)

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