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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-395382

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1. Andre Carson for Congress

    603 East Washington #100
    Indianapolis, IN 46204

    NOTE: Address is different than previously reported

    Fax: 3176373301
    Email: treasurer@andrecarson.com

2. Date: 01/14/2009

3. FEC Committee ID #: C00442921 This committee is a Principal Campaign Committee. Candidate: Andre Carson
Party: Democratic Party
Office Sought: House of Representatives
State is Indiana in District: 07

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Melina Kennedy
603 East Washington #100
Indianapolis, IN 46204
Title: Treasurer

Treasurer:

Melina Kennedy
603 East Washington #100
Indianapolis, Indiana 46204
Title: Treasurer

Designated Agent(s):

Banks or Depositories

JPMorganChase
20 West 16th Street
Indianapolis, Indiana 46202

Signed: Melina Kennedy
Date Signed: 01/14/2009
Official Committee URL: www.andrecarsonforcongress.com
Official Committee FAX: 3176373301

(End FEC FORM 1)

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