FEC Form 1 for Bill Owens for CongressForm 1 for Bill Owens for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-809063

1. Bill Owens for Congress

PO Box 1575
Plattsburgh, NY 12901
Email: info@billowensforcongress.com

2. Date: 09/06/2012

3. FEC Committee ID #: C00464495 This committee is a Principal Campaign Committee. Candidate: William Owens
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 21

Affiliated Committees/Organizations

Committee ID# C00501825
Jared Polis Victory Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00528141
Committee for Battleground NY Victory
430 South Capitol Street, SE,
2nd Floor
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Theodore Kowalczyk
30 Dennis Ave
Plattsburgh, NY 12901
Title: Treasurer

Treasurer:

Theodore Kowalczyk
30 Dennis Ave
Plattsburgh, New York 12901
Title: Treasurer

Designated Agent(s):

Banks or Depositories

NBT Bank
83 Margaret St
Plattsburgh, New York 12901

Bank of America
201 Pennsylvania Ave, SE
Washington, DC 20003

Bank of America, NA
730 15th Street, NW
Washington, DC 20005

Signed: Theodore Kowalczyk
Date Signed: 09/06/2012
Official Committee URL: http://www.billowensforcongress.ocm

(End FEC FORM 1)

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