FEC Form 1 for Chad Causey for CongressForm 1 for Chad Causey for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-793893

1. Chad Causey for Congress

P.O. Box 16966
Jonesboro, AR 72403
Email: cccausey@yahoo.com

2. Date: 07/01/2012

3. FEC Committee ID #: C00475384 This committee is a Principal Campaign Committee. Candidate: Causey Chad Causey
Party: Democratic Party
Office Sought: House of Representatives
State is Arkansas in District: 01

Affiliated Committees/Organizations

Custodian of Records:

Christopher Chad Causey
P.O. Box 16966
Little Rock, AR 72201
Title: Treasurer
Phone # (501) 375-1100

Treasurer:

Causey Christopher Chad Causey
P.O. Box 16966
Little Rock, Arkansas 72201
Title: Treasurer
Phone # (501) 375-1100

Designated Agent(s):

Banks or Depositories

Liberty Bank
2901 E. Highland
Jonesboro, Arkansas 72401

Signed: Causey Chad Causey
Date Signed: 07/06/2012
Official Committee URL: http://www.chadcauseyforcongress.com

(End FEC FORM 1)

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