FEC Form 1 for ROMNEY FOR PRESIDENT INC.Form 1 for ROMNEY FOR PRESIDENT INC.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-713264

1. ROMNEY FOR PRESIDENT INC.

80 HAYDEN AVENUE
LEXINGTON, MA 02421
Email: tim.jost@gmail.com

2. Date: 02/04/2011

3. FEC Committee ID #: C00431171 This committee is a Principal Campaign Committee. Candidate: MITT ROMNEY
Party: Republican Party
Office Sought: President
State is in District:

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

TIM JOST
80 HAYDEN AVENUE
LEXINGTON, MA 02421
Title: ASST. TREAS.

Treasurer:

DARRELL CRATE
80 HAYDEN AVENUE
LEXINGTON, Massachusetts 02421
Title: TREASURER

Designated Agent(s):

TIM JOST
80 HAYDEN AVENUE
LEXINGTON, Massachusetts 02421
Title: ASST. TREAS.

Banks or Depositories

CHAIN BRIDGE BANK
1445-A LAUGHLIN AVENUE
MCLEAN, Virginia 22101

Signed: DARRELL CRATE
Date Signed: 02/04/2011

(End FEC FORM 1)

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