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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-185341

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1. Kansans For Huelskamp

    PO Box 410
    Fowler, KS 67844
    Fax: 6206465902
    Email: timhuelskamp@rurallink.net

2. Date: 08/24/2005

3. FEC Committee ID #: C00413096 This committee is a Principal Campaign Committee. Candidate: TIMOTHY A HUELSKAMP
Party: National
Office Sought: House of Representatives
State is Kansas in District: 01

Affiliated Committees/Organizations

Custodian of Records:

Mr. Dean Zortman
PO Box 446
Fowler, KS 67844
Title: Treasurer
Phone # (620) 646-5900

Treasurer:

Mr. Dean Zortman
PO Box 446
Fowler, Kansas 67844
Title: Treasurer
Phone # (620) 646-5900

Designated Agent(s):

Banks or Depositories

Fowler State Bank
PO Box 50
Fowler, Kansas 67844

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

Signed: Mr. Dean Zortman
Date Signed: 08/24/2005
Official Committee FAX: 6206465902

(End FEC FORM 1)

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