FEC Form 1 for Kagen 4 CongressForm 1 for Kagen 4 Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-496818

1. Kagen 4 Congress

100 W. College Ave.
50D
Appleton, WI 54911
Email: christrull@gmail.com

2. Date: 10/07/2010

3. FEC Committee ID #: C00412809 This committee is a Principal Campaign Committee. Candidate: Steven L. Kagen
Party: Democratic Party
Office Sought: House of Representatives
State is Wisconsin in District: 08

Affiliated Committees/Organizations

Committee ID# C00489500
Wisconsin Victory Fund
1831 Bay Street, SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Bruce Chudacoff
100 W. College Ave.
Appleton, WI 54911
Title: Treasurer
Phone # (920) 257-2592

Treasurer:

Bruce Chudacoff
100 W. College Ave.
Appleton, Wisconsin 54911
Title: Treasurer
Phone # (920) 257-2592

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank N A
200 W. College Ave.
Appleton, Wisconsin 54911

PNC Bank
1799 Columbia Road NW
Washington, DC 20009

Signed: Bruce Chudacoff
Date Signed: 10/07/2010
Official Committee URL: http://www.kagen4congress.com

(End FEC FORM 1)

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