FEC Form 1 for Allen West for CongressForm 1 for Allen West for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-781764

1. Allen West for Congress

PO Box 1028
Deerfield Beach, FL 334431028
Email: gwildercpa@hotmail.com

2. Date: 05/07/2012

3. FEC Committee ID #: C00435628 This committee is a Principal Campaign Committee. Candidate: Mr. Allen B West
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 18

Affiliated Committees/Organizations

Broun-West Committee
2470 Daniels Bridge Road
Suite 121
Athens, Georgia 306066191
Affiliated Relationship Code: Joint Fundraising Representative

West Arizona GOP Committee
3501 N 24th Street
Phoenix, Arizona 850166607
Affiliated Relationship Code: Joint Fundraising Representative

Allen West North Carolina Victory Comm
PO Box 12905
Raleigh, North Carolina 276052905
Affiliated Relationship Code: Joint Fundraising Representative

February 7th Jfc
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer Gregory B Wilder
2140 Three M Trail
DeLand, FL 32720
Title: Treasurer

Treasurer:

Treasurer Gregory B Wilder
2140 Three M Trail
DeLand, Florida 32720
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank Atlantic
7102 Fairway Drive
Palm Beach Gardens, Florida 334183763

Wachovia Bank
1753 Pinnacle Drive
Mclean, Virginia 221023844

BB&T
1909 K Street NW
Washington, DC 200061152

Centra Bank
1101 Frederick Street
Hagerstown, Maryland 217406828

First Southern Bank
900 N Federal Highway
Suite 300
Boca Raton, Florida 334322753

Signed: Treasurer Gregory B Wilder
Date Signed: 05/07/2012

(End FEC FORM 1)

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