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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-132615

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1. Committee to Elect Dave Eversman

    NOTE:Commmittee Name is different than previously reported

    P.O. Box 5902
    Columbus, GA 31906

    NOTE: Address is different than previously reported

    Fax: 706-324-7956
    Email: EVERSMANCAMPAIGN@AOL.COM

2. Date: 07/07/2004

3. FEC Committee ID #: C00396473 This committee is a Principal Campaign Committee. Candidate: DAVE EVERSMAN
Party: National
Office Sought: House of Representatives
State is Georgia in District: 2

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

ELIZABETH S. TURNER
P.O. BOX 8682
COLUMBUS, Georgia 31908
Title: ASSNT TREASURER
Phone # (706) 324-7956

Designated Agent(s):

Banks or Depositories

WACHOVIA
2450 WYNNTON ROAD
COLUMBUS, Georgia 31906

Signed: ELIZABETH S. TURNER
Date Signed: 08/25/2004
Official Committee URL: WWW.DAVEEVERSMAN.ORG
Official Committee FAX: 706-324-7956

(End FEC FORM 1)

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