FEC Form 1 for BOOZMAN FOR ARKANSASForm 1 for BOOZMAN FOR ARKANSAS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1482356

1. BOOZMAN FOR ARKANSAS

PO BOX 671
ROGERS, AR 72757
Email: jody@boozman.com;tim@kochandhoos.com

2. Date: 12/08/2020

3. FEC Committee ID #: C00476317 This committee is a Principal Campaign Committee. Candidate: SEN. JOHN BOOZMAN
Party: Republican Party
Office Sought: Senate
State is Arkansas in District: 00

Affiliated Committees/Organizations

Committee ID# C00763524
BOOZMAN VICTORY 2022
901 N WASHINGTON ST
SUITE 700
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

RICK J. TANNEBERGER
PO BOX 671
ROGERS, AR 72757
Title: TREASURER
Phone # (479) 381-5085

Treasurer:

RICK J. TANNEBERGER
PO BOX 671
ROGERS, Arkansas 72757
Title: TREASURER
Phone # (479) 381-5085

Designated Agent(s):

TIMOTHY A. KOCH
901 N WASHINGTON ST, STE 700
ALEXANDRIA, Virginia 22314
Title: ASSISTANT TREASURER
Phone # (703) 299-8571

Banks or Depositories

ARVEST
5201 VILLAGE PARKWAY
ROGERS, Arkansas 72758

BANK OF AMERICA
600 N WASHINGTON ST
ALEXANDRIA, Virginia 22314

Signed: TIMOTHY KOCH - ASSISTANT TREASURER
Date Signed: 10/09/2015
Official Committee URL: www.boozmanforarkansas.com

(End FEC FORM 1)

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