FEC Form 1 for Hoosiers for Rokita, Inc.Form 1 for Hoosiers for Rokita, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1031653

1. Hoosiers for Rokita, Inc.

5802 Oak Avenue
Indianapolis, IN 462197219
Email: merler11@comcast.net

2. Date: 11/03/2015

3. FEC Committee ID #: C00476192 This committee is a Principal Campaign Committee. Candidate: Theodore Edward Rokita
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 04

Affiliated Committees/Organizations

Committee ID# C00590901
Hoosiers Victory Fund
824 S Milledge Ave
Suite 101
Athens, Georgia 306051332
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Mr. Michael J Erler, Sr.
1801 N Shutt Hill Rd
Huntington, Indiana 467509101
Title: Treasurer

Designated Agent(s):

Banks or Depositories

SunTrust Bank
PO Box 4418
Atlanta, Georgia 30302

Salin Bank
8455 Keystone Crossing Drive
Indianapolis, Indiana 462401159

Signed: Mr. Michael J Erler, Sr.
Date Signed: 11/03/2015

(End FEC FORM 1)

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