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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-173327

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1. Braley for Congress

    PO Box 390
    Waterloo, IA 50704

    NOTE: Address is different than previously reported

    Fax: 3192348029
    Email: bruce@brucebraley.com

2. Date: 05/05/2005

3. FEC Committee ID #: C00409441 This committee is a Principal Campaign Committee. Candidate: Bruce L Braley
Party:
Office Sought: House of Representatives
State is Iowa in District: 1

Affiliated Committees/Organizations

Custodian of Records:

Carolyn Kalb Braley
PO Box 390
Waterloo, IA 50704
Title: Senior Camp. Advisor
Phone # (319) 939-6853

Treasurer:

H. Daniel Holm Jr.
808 Ellen St.
Cedar Falls, Iowa 50163
Title: Treasurer
Phone # (319) 234-2638

Designated Agent(s):

Banks or Depositories

John Deere Community Credit Union
1827 Ansborough Ave.
Waterloo, Iowa 50701

Signed: H. Daniel Holm Jr.
Date Signed: 05/05/2005
Official Committee URL: www.brucebraley.com
Official Committee FAX: 3192348029

(End FEC FORM 1)

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