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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-715552

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1. MIKE KELLY FOR CONGRESS

    PO BOX 476
    LYNDORA, PA 16045
    Email: r_vaught@hotmail.com

    NOTE: Email address is different than previously reported

2. Date: 02/20/2011

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Renee Vaught
6911 Water Street
Fairview, PA 16415
Title: Treasurer
Phone # (814) 431-4601

Treasurer:

Renee Vaught
6911 Water Street
Fairview, Pennsylvania 16415
Title: Treasurer
Phone # (814) 431-4601

Designated Agent(s):

Banks or Depositories

Nextier Bank
245 Pittsburgh Road
Butler, Pennsylvania 16003

Signed: Renee Vaught
Date Signed: 02/20/2011
Official Committee URL: mikekellyforcongress.com

FORM TEXT

(End FEC FORM 1)

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