FEC Form 1 for Jordan for CongressForm 1 for Jordan for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-391229

1. Jordan for Congress

PO Box 860580
Shawnee Mission, KS 66226

NOTE: Address is different than previously reported

Email: dane_broadie@yahoo.com

2. Date: 12/08/2008

3. FEC Committee ID #: C00437996 This committee is a Principal Campaign Committee. Candidate: Nicholas M. Jordan
Party: Republican Party
Office Sought: House of Representatives
State is Kansas in District: 03

Affiliated Committees/Organizations

Committee ID# C00441584
The Jordan Victory Fund
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Dane Broadie
7645 Chadwick Street
Prairie Village, KS 662083950
Title: Treasurer
Phone # (816) 916-2255

Treasurer:

Dane Broadie
7645 Chadwick Street
Prairie Village, Kansas 662083950
Title: Treasurer
Phone # (816) 916-2255

Designated Agent(s):

Dustin Olson
PO Box 456
Limon, Colorado 808280456
Title: Assistant Treasurer

Banks or Depositories

M & I Bank
7225 Renner Road
Shawnee, Kansas 662173043

BB&T
1909 K Street NW
Washington, DC 20006

Signed: Dane Broadie
Date Signed: 12/08/2008

(End FEC FORM 1)

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