FEC Form 1 for Klein for CongressForm 1 for Klein for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-364181

1. Klein for Congress

21301 Powerline Road, Suite 204
Boca Raton, FL 33431
Fax: 5613916646
Email: info@ronkleinforcongress.com

2. Date: 09/25/2008

3. FEC Committee ID #: C00410522 This committee is a Principal Campaign Committee. Candidate: Ron Klein
Party: Democratic Party
Office Sought: House of Representatives
State is Florida in District: 22

Affiliated Committees/Organizations

Committee ID# C00451690
South Florida Victory Committee
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Dianne McCurry
McCurry & Ingalls LLC
21301 Powerline Road
Boca Raton, FL 33433
Title: Accountant
Phone # (561) 482-8400

Treasurer:

William McCurry
McCurry & Ingalls LLC
21301 Powerline Road Suite 204
Boca Raton, Florida 33433
Title: Treasurer
Phone # (561) 482-8400

Designated Agent(s):

Banks or Depositories

Wachovia Bank
975 South Federal Highway
Boca Raton, Florida 33432

Bank of America
730 15th Street, NW
Washington, DC 20005

Signed: William McCurry
Date Signed: 09/25/2008
Official Committee URL: http://ronkleinforcongress.com
Official Committee FAX: 5613916646

(End FEC FORM 1)

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