FEC Form 1 for Campbell for CongressForm 1 for Campbell for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-195421

1. Campbell for Congress

4590 MacArthur Blvd. Suite 500
Irvine, CA 92660

NOTE: Address is different than previously reported

Fax: 530-934-5776
Email: info@campbellforcongress.com

2. Date: 06/10/2005

3. FEC Committee ID #: C00412312 This committee is a Principal Campaign Committee. Candidate: John B.T. Campbell III
Party:
Office Sought: House of Representatives
State is in District: 48

Affiliated Committees/Organizations

Custodian of Records:

Kelly Lawler
P.O. Box 984
Willows, CA 95988
Title: Treasurer
Phone # (530) 934-5823

Treasurer:

Kelly Lawler
P.O. Box 984
Willows, California 95988
Title: Treasurer
Phone # (530) 934-5823

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
4850 Barranca Parkway
Irvine, California 92604

Wachovia Bank
100 N. Main Street
Winston Salem, North Carolina 27150

Signed: Kelly Lawler
Date Signed: 01/07/2006
Official Committee URL: www.campbellforcongress.com
Official Committee FAX: 530-934-5776

(End FEC FORM 1)

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