FEC Form 1 for FRIENDS OF MAX BURNSForm 1 for FRIENDS OF MAX BURNS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-202058

1. FRIENDS OF MAX BURNS

P.O. Box 1965
Sylvania, GA 30467
Fax: 7034258352
Email: info@maxburns.com

2. Date: 02/14/2006

3. FEC Committee ID #: C00412544 This committee is a Principal Campaign Committee. Candidate: O MAXIE BURNS
Party: National
Office Sought: House of Representatives
State is Georgia in District: 12

Affiliated Committees/Organizations

Committee ID# C00378448
MAX BURNS FOR CONGRESS
PO BOX 1965
SYLVANIA, Georgia 30467
Relationship: Affiliated Committee
Organization Type: Corporation

Custodian of Records:

Emelyn Hunter
115 South Main Street
Sylvania, GA 30467
Title: Treasurer
Phone # (912) 564-2678

Treasurer:

Emelyn Hunter
115 South Main Street
Sylvania, Georgia 30467
Title: Treasurer
Phone # (312) 564-2678

Designated Agent(s):

Banks or Depositories

Farmers & Merchants Bank
104 North Main Street
P.O. Box 559
Sylvania, Georgia 30467

First National Bank & Trust
616 West Ogeechee Street
Sylvania, Georgia 30467

Bank of Newington
224 Walton Street
P.O. Box 68
Newington, Georgia 30446

Citizens Bank of Effingham
P.O. Box 379
Springfield, Georgia 31329

Sea Island Bank
2 East Main Street
Statesboro, Georgia 30459

South Georgia Bank
401 South Main Street
Glennville, Georgia 30427

Signed: Emelyn Hunter
Date Signed: 02/14/2006
Official Committee FAX: 7034258352

(End FEC FORM 1)

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