FEC Form 1 for Coffman for CongressForm 1 for Coffman for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-404413

1. Coffman for Congress

9249 South Broadway
#200-501
Highlands Ranch, CO 801295690
Email: info@coffmanforcongress.com

2. Date: 02/18/2009

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

Affiliated Committees/Organizations

Committee ID# C00458562
House Republican Freshman 2009
PO Box 2719
Washington, DC 20013
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Florine Nath
9249 South Broadway Blvd.
#200-501
Highlands Ranch, CO 801295690
Title: Custodian of Records
Phone # (303) 791-6453

Treasurer:

Florine Nath
9249 South Broadway Blvd.
#200-501
Highlands Ranch, Colorado 801295690
Title: Treasurer
Phone # (303) 791-6453

Designated Agent(s):

Ms. Katie L Behnke
9249 South Broadway Blvd.
#200-501
Highlands Ranch, Colorado 801295690
Title: Designated Agent
Phone # (303) 791-6453

Banks or Depositories

First Bank
PO Box 2738
Littleton, Colorado 80161

TD Bank
810 West Diamond Avenue
Gaithersburg, Maryland 20878

Signed: Florine Nath
Date Signed: 02/18/2009
Official Committee URL: www.coffmanforcongress.com

(End FEC FORM 1)

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