FEC Form 1 for Mike Kelly For CongressForm 1 for Mike Kelly For Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1011260

1. Mike Kelly For Congress

PO Box 476
Lyndora, PA 16045
Email: ann@mikekellyforcongress.com

2. Date: 06/19/2015

3. FEC Committee ID #: C00474189 This committee is a Principal Campaign Committee. Candidate: George Kelly
Party: Republican Party
Office Sought: House of Representatives
State is Pennsylvania in District: 03

Affiliated Committees/Organizations

Committee ID# C00577031
Victory for Pennsylvania Fund
2470 Daniels Bridge Rd Suite 121
Athens, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00578716
Kelly-Thompson Victory Fund
PO Box 1654
Butler, Pennsylvania 16003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Ann Coleman
6758 St Regis Blvd
Hudson, Ohio 44236
Title: Treasurer

Designated Agent(s):

Banks or Depositories

SunTrust Bank
PO Box 4418
Atlanta, Georgia 30302

PNC Account - Main
37 Main Street
Hudson, Ohio 44236

Nextier Bank
PO Box 1232
Butler, Pennsylvania 16003

PNC Bank - Merchant Account
37 Main Street
Hudson, Ohio 44236

PNC Bank - Online/Website Account
37 Main Street
Hudson, Ohio 44236

Signed: Ann Coleman
Date Signed: 06/19/2015
Official Committee URL: www.mikekellyforcongress.com

(End FEC FORM 1)

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