FEC Form 1 for Coffman for Congress Inc.Form 1 for Coffman for Congress Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-315022

1. Coffman for Congress Inc.

9249 South Broadway Blvd.
#200-501
Highlands Ranch, CO 80129
Fax: 303-791-6451
Email: info@coffmanforcongress.com

2. Date: 01/08/2008

3. FEC Committee ID #: C00441006 This committee is a Principal Campaign Committee. Candidate: Mike Coffman
Party: Republican Party
Office Sought: House of Representatives
State is Colorado in District: 06

Affiliated Committees/Organizations

Custodian of Records:

Florine Nath
9249 South Broadway Blvd.
#200-501
Highlands Ranch, CO 80129
Title: Treasurer
Phone # (303) 791-6453

Treasurer:

Florine Nath
9249 South Broadway Blvd.
#200-501
Highlands Ranch, Colorado 80129
Title: Treasurer
Phone # (303) 791-6453

Designated Agent(s):

Katie Behnke
9249 South Broadway Blvd.
#200-501
Highlands Ranch, Colorado 80129
Title: Assistant Treasurer
Phone # (303) 791-6453

Banks or Depositories

First Bank
9205 South Broadway
Highlands Ranch, Colorado 80129

Wachovia Bank
100 North Main Street
Winston-Salem, North Carolina 27101

Signed: Florine Nath
Date Signed: 01/08/2008
Official Committee URL: www.coffmanforcongress.com
Official Committee FAX: 303-791-6451

(End FEC FORM 1)

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