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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1031736

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1. Bucshon for Congress

    PO Box 250
    Newburgh, IN 47629
    Email: JLWright@bkd.com;kmartin@bkd.com

2. Date: 11/02/2015

3. FEC Committee ID #: C00468256 This committee is a Principal Campaign Committee. Candidate: Larry D. Bucshon
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 08

Affiliated Committees/Organizations

Committee ID# C00577171
BROOKS-BUCSHON JOINT FUNDRAISING COMMITTEE
4703 WOODWAY LANE NW
WASHINGTON, DC 20016
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00590901
HOOSIERS VICTORY FUND
824 S. MILLEDGE AVE STE 101
ATHENS, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

John L. Wright
PO Box 628
Evansville, IN 477040628
Title: Treasurer
Phone # (812) 428-6500

Treasurer:

John L. Wright
PO Box 628
Evansville, Indiana 477040628
Title: Treasurer
Phone # (812) 428-6500

Designated Agent(s):

Banks or Depositories

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

Old National Bank
8577 Ruffian Lane
Newburgh, Indiana 47630

SUNTRUST BANK
PO BOX 4418
ATLANTA, Georgia 30302

Signed: John Wright
Date Signed: 11/04/2015
Official Committee URL: www.bucshonforcongress.com

(End FEC FORM 1)

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