FEC Form 1 for Walorski for Congress IncForm 1 for Walorski for Congress Inc

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-513131

1. Walorski for Congress Inc

NOTE:Commmittee Name is different than previously reported

PO Box 954
Mishawaka, IN 465460954
Email: info@standwithjackie.com

2. Date: 10/28/2010

3. FEC Committee ID #: C00468579 This committee is a Principal Campaign Committee. Candidate: Jackie Walorski
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 02

Affiliated Committees/Organizations

Committee ID# C00470450
IN-02 Congressional Victory Committee
264 N Lumpkin St #202
Athens, Georgia 306012832
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00490748
Hoosier Young Gun Victory Committee
913 Park Ave
Newport, Kentucky 41071
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mr Christopher M Marston
110 Shooters Ct
Alexandria, VA 223144649
Title: Assistant Treasurer
Phone # (571) 482-7690

Treasurer:

Mr Timothy M Frick
3515 Bridgetown Rd
Bristol, Indiana 465078776
Title: Treasurer
Phone # (574) 622-0192

Designated Agent(s):

Mr Christopher M Marston
PO Box 26141
Alexandria, Virginia 22313
Title: Assistant Treasurer
Phone # (571) 482-7690

Banks or Depositories

Old National Bank
300 Nibco Parkway
Elkhart, Indiana 465163576

SunTrust Bank
PO Box 4418
Atlanta, Georgia 303024418

Fifth Third Bank
590 Buttermilk Pike
Crescent Springs, Kentucky 41017

Signed: Christopher M Marston
Date Signed: 10/28/2010
Official Committee URL: http://standwithjackie.com/

(End FEC FORM 1)

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