FEC Form 1 for Heath Shuler for CongressForm 1 for Heath Shuler for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-426453

1. Heath Shuler for Congress

PO Box 8446
Asheville, NC 28814
Email: info@heathshuler.com

2. Date: 07/22/2009

3. FEC Committee ID #: C00413393 This committee is a Principal Campaign Committee. Candidate: Joseph H Shuler
Party: Democratic Party
Office Sought: House of Representatives
State is North Carolina in District: 11

Affiliated Committees/Organizations

Custodian of Records:

Troy Burns
PO Box 8446
Asheville, NC 28814
Title: Treasurer

Treasurer:

Troy Burns
PO Box 8446
Asheville, North Carolina 28814
Title: Treasurer
Phone # (828) 348-0414

Designated Agent(s):

Brett Smiley
102 Waterman St, Suite 2
Providence, Rhode Island 02906
Title: Deputy Treasurer
Phone # (401) 454-0991

Banks or Depositories

United Community Bank
165 N Main St
Waynesville, North Carolina 28738

BankRI
1 Turks Head Pl
Providence, Rhode Island 02906

Signed: Troy Burns
Date Signed: 07/22/2009
Official Committee URL: http://www.heathshuler.com

(End FEC FORM 1)

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