FEC Form 1 for Cozad for CongressForm 1 for Cozad for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746385

1. Cozad for Congress

4104 Coronet Lane
Arlington, TX 76017
Email: david.e.cozad@sbcglobal.net

2. Date: 08/31/2009

3. FEC Committee ID #: C00466425 This committee is a Principal Campaign Committee. Candidate: Mr. David Edwin Cozad
Party: Democratic Party
Office Sought: House of Representatives
State is Texas in District: 06

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Larry Robert Heath
4323 Rambling Creek Dr
Arlilngton, TX 76016
Title: Treasurer
Phone # (817) 561-4929

Treasurer:

Mr. Larry Robert Heath
4323 Rambling Creek Dr
Arlilngton, Texas 76016
Title: Treasurer
Phone # (817) 561-4929

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank, N.A.
1801 SW Green Oaks Blvd
Arlington, Texas 76017

Signed: Mr. Larry Robert Heath
Date Signed: 09/01/2009

(End FEC FORM 1)

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