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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-766848

1. Hoosiers for Rokita, Inc.

7643 East U.S. 36
Avon, IN 46123
Email: merler11@comcast.net

NOTE: Email address is different than previously reported

2. Date: 02/19/2012

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
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-, Indiana 00000

Custodian of Records:

Mr. Michael J. Erler, Sr.
7643 East U.S. 36
Avon, IN 46123
Title: Custodian of Records
Phone # (317) 268-4964

Treasurer:

Mr. Michael J. Erler, Sr.
7643 East U.S. 36
Avon, Indiana 46123
Title: Treasurer
Phone # (317) 268-4964

Designated Agent(s):

Banks or Depositories

Fifth Third Bank
5925 Illinois Road
Fort Wayne, Indiana 468041159

Signed: Mr. Michael J. Erler, Sr.
Date Signed: 02/19/2012
Official Committee URL: http://www.toddrokitaforcongress.com/

(End FEC FORM 1)

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