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FEC Form 1 for Adrian Smith for CongressForm 1 for Adrian Smith for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1033151


1. Adrian Smith for Congress

    3321 Avenue I
    Suite 6
    Scottsbluff, NE 693614587
    Email: committee@joinadrian.com;sue@joinadrian.com

2. Date: 11/10/2015

3. FEC Committee ID #: C00412890 This committee is a Principal Campaign Committee. Candidate: Adrian Smith
Party: Republican Party
Office Sought: House of Representatives
State is Nebraska in District: 03

Affiliated Committees/Organizations

Committee ID# C00543314
Nebraska Joint Victory Fund
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00591891
Adrian Smith Victory Fund
228 S Washington St
Ste 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:


Treasurer:

Mrs. Lenora S Gompert
PO Box 46
Morrill, Nebraska 693580046
Title: Treasurer
Phone # (308) 925-1050

Designated Agent(s):

Mrs. Lenora S Gompert
PO Box 46
Morrill, Nebraska 693580046
Title: Treasurer
Phone # (308) 925-1050

Banks or Depositories

Platte Valley Bank
1212 Circle Drive
Scottsbluff, Nebraska 69361

BB&T
1909 K Street
Washington, DC 20006

Signed: Mrs. Lenora S Gompert
Date Signed: 11/17/2015

(End FEC FORM 1)


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