FEC Form 1 for Bill Johnson for Congress CommitteeForm 1 for Bill Johnson for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748934

1. Bill Johnson for Congress Committee

P.O. Box 14496
Poland, OH 44514
Email: bill@BillJohnsonLeads.com

2. Date: 10/15/2011

3. FEC Committee ID #: C00476820 This committee is a Principal Campaign Committee. Candidate: Bill Johnson
Party: Republican Party
Office Sought: House of Representatives
State is Ohio in District: 06

Affiliated Committees/Organizations

Committee ID# C00491613
The Ohio Five
228 S. Washington Street, Suite 11
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00502252
Patriot Day II 2011
228 S Washington Street
Suite 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mr. Perry J. Chickonoski
5750 Clingan Rd.
Struthers, OH 44471
Title: Treasurer
Phone # (330) 757-2545

Treasurer:

Perry J. Chickonoski
5750 Clingan Rd.
Struthers, Ohio 44471
Title: Treasurer
Phone # (330) 757-2545

Designated Agent(s):

Patrick O'Connor
4320 Creekside
Vienna, Ohio 44473
Title: Assistant Treasurer
Phone # (330) 856-9222

Banks or Depositories

JPMorgan Chase Bank, NA
P.O. Box 260180
Baton Rouge, Louisiana 708260180

PayPal
P.O. Box 45950
Omaha, Nebraska 681450950

BB&T
1909 K Street NW
Washington, DC 20006

Signed: Perry J. Chickonoski
Date Signed: 10/15/2011
Official Committee URL: www.BillJohnsonLeads.com

(End FEC FORM 1)

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