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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-416138

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1. Joe Donnelly For Congress

    PO Box 1961
    .
    South Bend, IN 46634
    Email: info@donnellyforuscongress.com

2. Date: 05/06/2009

3. FEC Committee ID #: C00393652 This committee is a Principal Campaign Committee. Candidate: Joseph S. Donnelly
Party: Democratic Party
Office Sought: House of Representatives
State is Indiana in District: 02

Affiliated Committees/Organizations

Committee ID# C00461228
Keep Indiana Blue
PO Box 83142
Gaithersburg, Maryland 20883
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

James A. Masters
PO Box 1961
South Bend, IN 46634
Title: Treasurer

Treasurer:

James A. Masters
PO Box 1961
South Bend, Indiana 46634
Title: Treasurer

Designated Agent(s):

Ron May
PO Box 1961
South Bend, Indiana 46634
Title: Asst. Treasurer

Banks or Depositories

1st Source Bank
PO Box 1602
South Bend, Indiana 46634

Bank of America, NA
730 15th Street, NW
Washington, DC 20005

Signed: James A. Master
Date Signed: 05/06/2009
Official Committee URL: http://www.donnellyforuscongress.com

(End FEC FORM 1)

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