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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-855123

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1. Courtney for Congress

    PO Box 1372
    Vernon, CT 06066
    Email: TJPoloski@aol.com

    NOTE: Email address is different than previously reported

2. Date: 02/11/2013

3. FEC Committee ID #: C00410233 This committee is a Principal Campaign Committee. Candidate: Joseph D Courtney
Party: Democratic Party
Office Sought: House of Representatives
State is Connecticut in District: 02

Affiliated Committees/Organizations

Committee ID# C00410233
Courtney for Congress
PO Box 1372
Vernon, Connecticut 06066
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Treasurer:

Tim Poloski
PO Box 1372
Vernon, Connecticut 06066
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Rockville Bank
1645 Ellington Road
South Windsor, Connecticut 06074

Signed: Tim Poloski
Date Signed: 02/11/2013

(End FEC FORM 1)

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