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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-727701

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1. Connolly for Congress

    PO Box 563
    Merrifield, VA 22116
    Email: info@gerryconnolly.com

2. Date: 05/08/2011

3. FEC Committee ID #: C00445452 This committee is a Principal Campaign Committee. Candidate: Gerald E Connolly
Party: Democratic Party
Office Sought: House of Representatives
State is Virginia in District: 11

Affiliated Committees/Organizations

Committee ID# C00493122
Jared Polis Majority Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

John Jennison
PO Box 563
Merrifield, VA 22116
Phone # (703) 618-4251

Treasurer:

John Jennison
PO Box 563
Merrifield, Virginia 22116
Title: Treasurer
Phone # (703) 618-4251

Designated Agent(s):

Banks or Depositories

Bank Branch & Trust
2113 Crystal Place Arcade
Arlington, Virginia 22202

Signed: John Jennison
Date Signed: 05/08/2011
Official Committee URL: http://www.gerryconnolly.com

(End FEC FORM 1)

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