FEC Form 1 for DIANNE COSTA FOR US CONGRESSForm 1 for DIANNE COSTA FOR US CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-738949

1. DIANNE COSTA FOR US CONGRESS

6101 Long Prairie Road
Suite 744-375
Flower Mound, TX 75028

NOTE: Address is different than previously reported

Email: dianne@costa4congress.com

NOTE: Email address is different than previously reported

2. Date: 07/27/2011

3. FEC Committee ID #: C00494906 This committee is a Principal Campaign Committee. Candidate: Dianne Salvagno Costa
Party: Republican Party
Office Sought: House of Representatives
State is Texas in District: 25

Affiliated Committees/Organizations

Committee ID# C00494906
DIANNE COSTA FOR US CONGRESS
6101 Long Prairie Road
Suite 744-375
Flower Mound, Texas 75028
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Sandra M Raburn
921 Highland Village Road
Highland Village, TX 75077
Title: custodian of records
Phone # (972) 786-1672

Treasurer:

Raymond D Roberts Sr.
2136 Chinn Road
Denton, Texas 76207
Title: Treasurer
Phone # (214) 213-5000

Designated Agent(s):

Sandra M Raburn
921 Highland Village Road
Highland Village, Texas 75077

Dianne Salvagno Costa
6101 Long Prairie Road
Suite 744-375
Flower Mound, Texas 75028
Title: candidate
Phone # (214) 676-1846

Banks or Depositories

United Community Bank
2100 F.M. 407
Highland Village, Texas 75077

Signed: Raymond D Roberts Sr.
Date Signed: 07/27/2011
Official Committee URL: www.diannecostaforcongress.com

(End FEC FORM 1)

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