FEC Form 1 for CLEMONS FOR CONGRESSForm 1 for CLEMONS FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-193774

1. CLEMONS FOR CONGRESS

PO BOX 4373
WINDHAM, NH 03087
Email: cle20142@aol.com

2. Date: 12/16/2005

3. FEC Committee ID #: C00416248 This committee is a Principal Campaign Committee. Candidate: BRET MICHAEL MICHAEL CLEMONS
Party: National
Office Sought: House of Representatives
State is New Hampshire in District: 02

Affiliated Committees/Organizations

Custodian of Records:

BRET MICHAEL MICHAEL CLEMONS
43 OVERTON ROAD
WINDHAM, NH 03087
Title: CANDIDATE
Phone # (603) 898-3172

Treasurer:

ELLIOT LASKEY
5 MANSFIELD ROAD
NASHUA, New Hampshire 03062
Title: TREASURER
Phone # (603) 888-5557

Designated Agent(s):

Banks or Depositories

CITIZENS BANK
1 CAPITAL PLAZA
CONCORD, New Hampshire 03301

Signed: ELLIOT LASKEY
Date Signed: 12/16/2005
Official Committee URL: http://www.clemonsforcongress.com/

(End FEC FORM 1)

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