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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-767992

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1. Quayle for Congress

    10645 N. Tatum Blvd 200-429
    Phoenix, AZ 85028

    NOTE: Address is different than previously reported

    Email: chrissie@incompliance.net

2. Date: 02/27/2012

3. FEC Committee ID #: C00475863 This committee is a Principal Campaign Committee. Candidate: Ben Quayle
Party: Republican Party
Office Sought: House of Representatives
State is Arizona in District: 06

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Corinne Berger
4247 N. 44th Street
Phoenix, Arizona 85018
Title: Treasurer
Phone # (602) 492-4236

Designated Agent(s):

Banks or Depositories

Biltmore Bank
5055 N. 32nd Street
Phoenix,, Arizona 85018

Signed: Corinne Berger
Date Signed: 02/27/2012
Official Committee URL: www.quayleforcongress.com

(End FEC FORM 1)

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