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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-888155

1. Bucshon for Congress

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

2. Date: 09/18/2013

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# C00544148
BUCSHON - STUTZMAN VICTORY FUND
PO BOX 26141
ALEXANDRIA, Virginia 22313
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00549345
SURGEONS CONGRESSIONAL VICTORY FUND
PO BOX 30844
BETHESDA, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Banks or Depositories

Old National Bank
8577 Ruffian Lane
Newburgh, Indiana 47630

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

Wells Fargo Bank
7905 Wisconsin Avenue
MD 1010
Bethesda, Maryland 20814

Signed: Mr. John L. Wright
Date Signed: 09/18/2013
Official Committee URL: www.bucshonforcongress.com

(End FEC FORM 1)

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