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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-814833

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1. Latta for Congress

    PO Box 106
    Bowling Green, OH 434020106
    Email: tcharters@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 09/24/2012

3. FEC Committee ID #: C00438697 This committee is a Principal Campaign Committee. Candidate: Mr. Robert Edward Latta
Party: Republican Party
Office Sought: House of Representatives
State is Ohio in District: 05

Affiliated Committees/Organizations

Committee ID# C00528091
2012 Jordan Latta Victory Committee
9856 Archer Lane
Dublin, Ohio 430178914
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Ms. Theresa Charters
1537 Cedar Lane
Bowling Green, OH 434021478
Title: Treasurer
Phone # (419) 352-4659

Treasurer:

Ms. Theresa Charters
1537 Cedar Lane
Bowling Green, Ohio 434021478
Title: Treasurer
Phone # (419) 352-4659

Designated Agent(s):

Banks or Depositories

Huntington National Bank
222 S Main Street
Bowling Green, Ohio 434023025

Signed: Ms. Theresa Charters
Date Signed: 10/11/2012

(End FEC FORM 1)

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