FEC Form 1 for COMMITTEE TO ELECT DAVE EVERSMANForm 1 for COMMITTEE TO ELECT DAVE EVERSMAN

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-125593

1. COMMITTEE TO ELECT DAVE EVERSMAN

P.O. Box 5902
Columbus, GA 31906

2. Date: 07/13/2004

3. FEC Committee ID #: C00396473 This committee is a Principal Campaign Committee. Candidate: DAVID EVERSMAN, Sr.
Party: National
Office Sought: House of Representatives
State is Georgia in District: 02

Affiliated Committees/Organizations

Custodian of Records:

Elizabeth Turner
214 Plantation Creek Road
Fortson, GA 31908
Title: Treasurer
Phone # (706) 324-7956

Treasurer:

Elizabeth Turner
214 Plantation Creek Road
Fortson, Georgia 31908
Title: Treasurer
Phone # (706) 324-7956

Designated Agent(s):

Banks or Depositories

Signed: Elizabeth Turner
Date Signed: 07/13/2004

(End FEC FORM 1)

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