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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-435905

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1. KAPANKE FOR CONGRESS

    P.O. BOX 937
    LA CROSSE, WI 54601
    Email: treasurer@kapankeforcongress.com

    NOTE: Email address is different than previously reported

2. Date: 07/29/2009

3. FEC Committee ID #: C00464842 This committee is a Principal Campaign Committee. Candidate: DAN KAPANKE
Party: Republican Party
Office Sought: House of Representatives
State is Wisconsin in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Bruce Jentz
103 Alexander St.
La Crosse, WI 54601
Title: TREASURER
Phone # (608) 796-0179

Treasurer:

Bruce Jentz
103 Alexander St.
La Crosse, Wisconsin 54601
Title: TREASURER
Phone # (608) 796-0179

Designated Agent(s):

Bruce Jentz
103 Alexander St.
La Crosse, Wisconsin 54601
Title: Treasurer
Phone # (608) 796-0179

Banks or Depositories

State Bank of La Crosse
P.O. Box 159
La Crosse, Wisconsin 54602

Signed: Bruce Jentz
Date Signed: 10/15/2009
Official Committee URL: http://www.kapankeforcongress.com

(End FEC FORM 1)

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