FEC Form 1 for Lummis for CongressForm 1 for Lummis for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1136300

1. Lummis for Congress

300 Country Club Road, Suite 302
Casper, WY 82609

NOTE: Address is different than previously reported

Email: w.cubin@bresnan.net

2. Date: 12/29/2016

3. FEC Committee ID #: C00443580 This committee is a Principal Campaign Committee. Candidate: CYNTHIA MARIE LUMMIS
Party: Republican Party
Office Sought: House of Representatives
State is Wyoming in District: 00

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

William Cubin
300 Country Club Road, Suite 302
Casper, WY 82609
Title: Treasurer
Phone # (307) 577-4040

Treasurer:

William Cubin
300 Country Club Road, Suite 302
Casper, Wyoming 82609
Title: Treasurer
Phone # (307) 577-4040

Designated Agent(s):

Banks or Depositories

Hilltop National Bank
300 Country Club Road
Casper, Wyoming 82609

Signed: William Cubin
Date Signed: 12/29/2016
Official Committee URL: www.lummisforwyoming.org

FORM TEXT-1

(End FEC FORM 1)

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