FEC Form 1 for Hoosiers for RokitaForm 1 for Hoosiers for Rokita

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-455042

1. Hoosiers for Rokita

NOTE:Commmittee Name is different than previously reported

7643 East U.S. 36
Avon, IN 46123
Email: info@toddrokitaforcongress.com

NOTE: Email address is different than previously reported

2. Date: 03/09/2010

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

NONE
, ____
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Michael J. Erler, Sr.
7643 East U.S. 36
Avon, IN 46123
Title: Custodian of Records
Phone # (260) 750-3982

Treasurer:

Michael J. Erler, Sr.
7643 East U.S. 36
Avon, Indiana 46123
Title: Treasurer
Phone # (260) 750-3982

Designated Agent(s):

Banks or Depositories

Fifth Third Bank
5925 Illinois Rd
Fort Wayne, Indiana 46804

Signed: Michael J. Erler, Sr.
Date Signed: 03/09/2010
Official Committee URL: http://www.toddrokitaforcongress.com/

NOTE: URL is different than previously reported

(End FEC FORM 1)

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