FEC Form 1 for Kuster for Congress, Inc.Form 1 for Kuster for Congress, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-842901

1. Kuster for Congress, Inc.

P.O. Box 1498
Concord, NH 03302
Email: paul@kusterforcongress.com

2. Date: 12/21/2012

3. FEC Committee ID #: C00462861 This committee is a Principal Campaign Committee. Candidate: Ann McLane Kuster
Party: Democratic Party
Office Sought: House of Representatives
State is New Hampshire in District: 02

Affiliated Committees/Organizations

Committee ID# C00540062
AnniePAC
1 PARK ROW 5TH FL, PROVIDENCE, RI
Providence, Rhode Island 02903
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00526210
Annie Kuster Victory Fund
1 Park Row, 5th Floor
Providence, Rhode Island 02903
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Paul A. Burkett
Rath, Young and Pignatelli, P.C.
P.O. Box 1500
Concord, NH 03302
Title: Treasurer
Phone # (603) 226-2600

Treasurer:

Paul A. Burkett
Rath, Young and Pignatelli, P.C.
P.O. Box 1500
Concord, New Hampshire 03302
Title: Treasurer
Phone # (603) 226-2600

Designated Agent(s):

Brett Smiley
1 Park Row 5th FL, Providence, RI
Providence, Rhode Island 02903
Title: Assistant Treasurer

Banks or Depositories

Citizens Bank
One Capital Plaza, NH 426
Main Street
Concord, New Hampshire 03301

Bank of America
1501 Pennsylvania Avenue, NW

Washington, DC 20005

Signed: Paul A. Burkett
Date Signed: 12/21/2012
Official Committee URL: http://www.kusterforcongress.com

(End FEC FORM 1)

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