FEC Form 1 for Friends of Tarryl Clark 2012Form 1 for Friends of Tarryl Clark 2012

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754606

1. Friends of Tarryl Clark 2012

P.O. Box 74
Duluth, MN 55801
Email: info@tarrylclark.com

2. Date: 12/13/2011

3. FEC Committee ID #: C00496513 This committee is a Principal Campaign Committee. Candidate: Tarryl Lynn Clark
Party: Democratic-Farm-Labor
Office Sought: House of Representatives
State is Minnesota in District: 08

Affiliated Committees/Organizations

Custodian of Records:

Sarah Lewerenz
P.O. Box 74
Duluth, MN 55801
Title: Treasurer
Phone # (218) 310-3991

Treasurer:

Sarah Lewerenz
P.O. Box 74
Duluth, Minnesota 55801
Title: Treasurer
Phone # (218) 310-3991

Designated Agent(s):

Shelli Hesselroth
P.O. Box 74
Duluth, Minnesota 55801
Title: Assistant Treasurer

Banks or Depositories

US Bank
4601 E. Superior St.
Duluth, Minnesota 55804

Venture Bank
5601 Green Valley Drive, Ste. 120
Bloomington, Minnesota 55437

Woodsboro Bank
6 W Patrick St.
Frederick, Maryland 21701

Signed: Sarah Lewerenz
Date Signed: 12/13/2011
Official Committee URL: http://www.tarrylclark.com

(End FEC FORM 1)

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