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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-474305

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1. Roskam for Congress Committee

    P. O. Box 713
    Wheaton, IL 60187

    NOTE: Address is different than previously reported

    Email: nwatkins@robertwatkins.com

2. Date: 06/03/2010

3. FEC Committee ID #: C00410969 This committee is a Principal Campaign Committee. Candidate: Peter Roskam
Party: Republican Party
Office Sought: House of Representatives
State is Illinois in District: 06

Affiliated Committees/Organizations

Committee ID# C00484360
The Four Amigos Joint Committee
610 S. Boulevard
Tampa, Florida 33606
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Nancy H. Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Treasurer
Phone # (813) 254-3369

Treasurer:

Nancy H. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Treasurer
Phone # (813) 254-3369

Designated Agent(s):

Robert I. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Assistant Treasurer
Phone # (813) 254-3369

Banks or Depositories

Bank of Tampa
P. O. Box 1
Tampa, Florida 33601

Signed: Nancy H. Watkins
Date Signed: 06/11/2010

(End FEC FORM 1)

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