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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-508623


1. Jeff Fortenberry for United States Congress

    301 S 13th St.
    Ste. 401
    Lincoln, NE 68508
    Email: sralls@fecfinancial.com

2. Date: 10/21/2010

3. FEC Committee ID #: C00395467 This committee is a Principal Campaign Committee. Candidate: Jeff Fortenberry
Party: Republican Party
Office Sought: House of Representatives
State is Nebraska in District: 01

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Steven Ralls
PO Box 651374
Potomac Falls, VA 20165
Title: Custodian
Phone # (703) 430-6635

Treasurer:

Steven Ralls
PO Box 651374
Potomac Falls, Virginia 20165
Title: Treasurer
Phone # (703) 430-6635

Designated Agent(s):

Banks or Depositories

Cornhusker Bank
11th & Cornhusker Highway
Lincoln, Nebraska 68521

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

Mutual Of Omaha Bank
3333 Ferman Street
Omaha, Nebraska 68131

Signed: Steven Ralls
Date Signed: 10/21/2010

(End FEC FORM 1)


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