FEC Form 1 for Jeff Fortenberry for United States CongressForm 1 for Jeff Fortenberry for United States Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-223691

1. Jeff Fortenberry for United States Congress

1610 N Street
Lincoln, NE 68508
Fax: 7034306623

2. Date: 06/26/2006

3. FEC Committee ID #: C00395467 This committee is a Principal Campaign Committee. Candidate: Jeff Fortenberry
Party:
Office Sought: House of Representatives
State is Nebraska in District: 1

Affiliated Committees/Organizations

Custodian of Records:

T. Edward Anfinson
PO Box 651374
Potomac Falls, VA 20165
Title: Treasurer
Phone # (703) 430-6635

Treasurer:

T. Edward Anfinson
PO Box 651374
Potomac Falls, Virginia 20165
Phone # (703) 430-6635

Designated Agent(s):

Banks or Depositories

Union Bank & Trust
4243 Pioneer Woods Dr
Lincoln, Nebraska 68506

Signed: T. Edward Anfinson
Date Signed: 06/26/2006
Official Committee URL: www.supportfort.com
Official Committee FAX: 7034306623

(End FEC FORM 1)

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