FEC Form 1 for Jim Stork For CongressForm 1 for Jim Stork For Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-135994

1. Jim Stork For Congress

818 Connecticut Avenue NW
Suite 1100
Washington, DC 20006

NOTE: Address is different than previously reported

Fax: 2024640669

2. Date: 09/23/2004

3. FEC Committee ID #: C00395517 This committee is a Principal Campaign Committee. Candidate: James R Stork
Party: National
Office Sought: House of Representatives
State is Florida in District: 22

Affiliated Committees/Organizations

Custodian of Records:

William C. Oldaker
818 Connecticut Avenue NW
Suite 1100
Washington, DC 20006
Title: Custodian
Phone # (202) 728-1010

Treasurer:

William C. Oldaker
818 Connecticut Avenue NW
Suite 1100
Washington, DC 20006
Title: Treasurer
Phone # (202) 728-1010

Designated Agent(s):

Banks or Depositories

Wachovia Bank
3300 North Federal Highway
Fort Lauderdale, Florida 33306

Signed: William C. Oldaker
Date Signed: 09/23/2004
Official Committee URL: none
Official Committee FAX: 2024640669

(End FEC FORM 1)

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