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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765486

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1. Lungren for Congress

    9321 Silverbend Lane
    Elk Grove, CA 95624
    Email: vona@onemain.com

2. Date: 02/13/2012

3. FEC Committee ID #: C00390955 This committee is a Principal Campaign Committee. Candidate: Daniel E. Lungren
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 03

Affiliated Committees/Organizations

Committee ID# C00511519
Patriott Day III
228 S. Washington Street, Ste. 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Vona Copp
9321 Silverbend Lane
Elk Grove, CA 95624
Title: Custodian of Records
Phone # (916) 686-1815

Treasurer:

Vona Copp
9231 Silverbend Lane
Elk Grove, California 95624
Title: Treasurer
Phone # (916) 686-1815

Designated Agent(s):

None

Banks or Depositories

Wells Fargo Bank
400 Capitol Mall
Sacramento, California 95814

BB&T
1909 K Street, NW
Washington, DC 20006

Signed: Vona L. Copp
Date Signed: 02/13/2012

FORM TEXT

(End FEC FORM 1)

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