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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-771956

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1. Tim Walz for US Congress

    PO Box 938
    Mankato, MN 56002
    Email: info@timwalz.org

2. Date: 03/20/2012

3. FEC Committee ID #: C00409409 This committee is a Principal Campaign Committee. Candidate: Timothy J Walz
Party: Democratic-Farm-Labor
Office Sought: House of Representatives
State is Minnesota in District: 01

Affiliated Committees/Organizations

Committee ID# C00480137
Minnesota Victory 2012
505 N. Riverfront Drive
Mankato, Minnesota 56001
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00501825
Jared Polis Victory Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Joan Christensen
P.O. Box 938
Mankato, MN 56002
Title: Custodian of Records

Treasurer:

Gerald Maschka
PO Box 938
Mankato, Minnesota 56002
Title: Treasurer
Phone # (507) 388-5382

Designated Agent(s):

Shelli Hesselroth
P.O. Box 938
Mankato, Minnesota 56002
Title: Assistant Treasurer
Phone # (507) 388-5382

Banks or Depositories

Wells Fargo
206 E Hickory Street
Mankato, Minnesota 56001

Minnesota Valley Federal CU
1640 Adams Street
Mankato, Minnesota 56001

Signed: Gerald Maschka
Date Signed: 03/20/2012
Official Committee URL: http://timwalz.org

(End FEC FORM 1)

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