FEC Form 1 for MIKE KELLY FOR CONGRESSForm 1 for MIKE KELLY FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-872642

1. MIKE KELLY FOR CONGRESS

PO BOX 476
LYNDORA, PA 16045
Email: acoleman6758@gmail.com;lbstone111@gmail.com

NOTE: Email address is different than previously reported

2. Date: 05/28/2013

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

Affiliated Committees/Organizations

Committee ID# C00493817
Team 2012
217 Third Street, SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00493577
GREAT EIGHT COMMITTEE
228 S WASHINGTON ST STE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00495242
PA +5 Committee
7315 Wisconsin Avenue
Suite 310 East
Bethesda, Maryland 20815
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Ann Coleman
6758 St. Regis Blvd.
Hudson, OH 44236
Title: Treasurer
Phone # (330) 653-8686

Treasurer:

Ann Coleman
6758 St. Regis Blvd.
Hudson, Ohio 44236
Title: Treasurer
Phone # (330) 653-8686

Designated Agent(s):

Banks or Depositories

Nextier Bank
245 Pittsburgh Road
Butler, Pennsylvania 16003

BB & T
1909 K Street, NW
Washington, DC 20006

Wachovia Bank
7901 Wisonsin Avenue
MD1010
Bethesda, Maryland 20814

PNC Bank
2470 East State Street
Hermitage, Pennsylvania 16148

Signed: Ann Coleman
Date Signed: 05/28/2013
Official Committee URL: mikekellyforcongress.com

FORM TEXT

(End FEC FORM 1)

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