FEC Form 1 for Bucshon for CongressForm 1 for Bucshon for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1101426

1. Bucshon for Congress

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

2. Date: 09/27/2016

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# C00624841
HEALTH FIRST COMMITTEE
PO BOX 30844
BETHESDA, Maryland 20824
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

WELLS FARGO BANK
7901 WISCONSIN AVENUE
BETHESDA, Maryland 20814

Signed: John Wright
Date Signed: 09/27/2016
Official Committee URL: www.bucshonforcongress.com

(End FEC FORM 1)

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