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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1037173

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1. Duffy for Congress

    PO Box 538
    Wausau, WI 544020538
    Email: michele@crosbyott.com

2. Date: 11/05/2015

3. FEC Committee ID #: C00464339 This committee is a Principal Campaign Committee. Candidate: Sean Duffy
Party: Republican Party
Office Sought: House of Representatives
State is Wisconsin in District: 07

Affiliated Committees/Organizations

Committee ID# C00544312
Duffy for Wisconsin
8401 Excelsior Drive
Suite 103
Madison, Wisconsin 53717
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00585828
THE WISCONSIN VICTORY TEAM
PO BOX 9891
ARLINGTON, Virginia 22219
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Michele Reisner
PO Box 9891
Arlington, VA 22219
Title: Custodian of Records

Treasurer:

Michael Masterson
65670 Lake Park Road
Ashland, Wisconsin 54806
Title: Treasurer
Phone # (715) 682-2983

Designated Agent(s):

Banks or Depositories

River Valley Bank
101 Scott Street
Wausau, Wisconsin 54403

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Michael Masterson
Date Signed: 12/21/2015

(End FEC FORM 1)

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