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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-710058

1. Walorski for Congress Inc

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

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

Signed: Christopher M Marston
Date Signed: 01/30/2011
Official Committee URL: http://standwithjackie.com/

(End FEC FORM 1)

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