FEC Form 1 for DOUG HOFFMAN FOR CONGRESSForm 1 for DOUG HOFFMAN FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-440821

1. DOUG HOFFMAN FOR CONGRESS

111 RIVER STREET
SARANAC LAKE, NY 12983
Email: platypus1@roadrunner.com

2. Date: 10/29/2009

3. FEC Committee ID #: C00464826 This committee is a Principal Campaign Committee. Candidate: Mr. DOUGLAS L. HOFFMAN
Party: Conservative Party
Office Sought: House of Representatives
State is New York in District: 23

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Webster W Parker
PO Box 708
Saranac Lake, NY 12983

Treasurer:

Mr. Webster W Parker
PO Box 708
Saranac Lake, New York 12983
Title: Treasurer
Phone # (518) 524-8615

Designated Agent(s):

Banks or Depositories

NBT Bank of Saranac Lake
209 Lake Flower Avenue
Saranac Lake, New York 12983

Signed: Mr. Webster W Parker
Date Signed: 11/23/2009
Official Committee URL: WWW.doughoffmanforcongress.com

(End FEC FORM 1)

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