FEC Form 1 for PAUL GOSAR FOR CONGRESSForm 1 for PAUL GOSAR FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-854019

1. PAUL GOSAR FOR CONGRESS

PO Box 2967
Prescott, AZ 86302

NOTE: Address is different than previously reported

Email: brian@drpowley.com

2. Date: 01/31/2013

3. FEC Committee ID #: C00461806 This committee is a Principal Campaign Committee. Candidate: PAUL ANTHONY GOSAR
Party: Republican Party
Office Sought: House of Representatives
State is Arizona in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Dr. W. Brian Powley
5212 E Larkspur Drive
Scottsdale, Arizona 85254
Title: Treasurer
Phone # (480) 220-5464

Designated Agent(s):

Dr. Brien V. Harvey
6051 N Paseo Valdear
Tucson, Arizona 85750
Title: Asst Treasurer

Banks or Depositories

Wells Fargo Bank
10959 E Dynamite Blvd.
Scottsdale, Arizona 85262

Signed: Dr. W. Brian Powley
Date Signed: 01/31/2013
Official Committee URL: http://gosarforcongress.com/

(End FEC FORM 1)

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