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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-516569

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1. DAN LIPINSKI FOR CONGRESS

    P.O. BOX 520
    WESTERN SPRINGS, IL 60558
    Email: lipinski@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 11/21/2010

3. FEC Committee ID #: C00405431 This committee is a Principal Campaign Committee. Candidate: DANIEL WILLIAM LIPINSKI
Party: Democratic Party
Office Sought: House of Representatives
State is Illinois in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Michael McLaughlin
647 N. Waiola Avenue
La Grange Park, IL 60526
Title: Treasurer
Phone # (708) 482-7065

Treasurer:

Michael McLaughlin
647 N. Waiola Avenue
La Grange Park, Illinois 60526
Title: Treasurer
Phone # (708) 482-7065

Designated Agent(s):

Michael McLaughlin
647 N. Waiola Avenue
La Grange Park, Illinois 60526
Title: Treasurer
Phone # (708) 482-7065

Banks or Depositories

Western Springs National Bank & Trust
4456 Wolf Road
Western Springs, Illinois 60558

State Bank of Countryside
6734 Joliet Road
Countryside, Illinois 60525

Burr Ridge Bank
7020 S. County Line Road
Willowbrook, Illinois 60527

Signed: Michael McLaughlin
Date Signed: 11/21/2010
Official Committee URL: lipinskiforcongress.com

(End FEC FORM 1)

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