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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-493447

1. Klein for Congress

21301 Powerline Road, Suite 204
Boca Raton, FL 33433

NOTE: Address is different than previously reported

Email: info@ronkleinforcongress.com

2. Date: 09/15/2010

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

Committee ID# C00488718
Florida Victory Fund 2010
430 S Capitol St SE 2nd FL
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

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

Treasurer:

William McCurry
McCurry & Company
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

Wells Fargo Securities
200 S Biscayne Blvd
Miami, Florida 33131

Gulfstream Business Bank
909 SE Fifth Ave
Delray Beach, Florida 33483

Charles Schwab
2350 NW 43rd St
Boca Raton, Florida 33431

Signed: William McCurry
Date Signed: 09/15/2010
Official Committee URL: http://ronkleinforcongress.com

(End FEC FORM 1)

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