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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-893756

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1. Rothfus for Congress

    PO Box 435
    Sewickley, PA 15143
    Email: paul@pdscompliance.com

2. Date: 10/28/2013

3. FEC Committee ID #: C00497115 This committee is a Principal Campaign Committee. Candidate: Mr. Keith Rothfus
Party: Republican Party
Office Sought: House of Representatives
State is Pennsylvania in District: 12

Affiliated Committees/Organizations

Committee ID# C00523985
Freshman Hold'em JFC
209 Pennsylvania Ave
Ste 2109
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00546382
Committee to Protect Prosperity and Fr
PO Box 30844
Bethesda, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00547836
Patriot Day II 2013
228 S Washington St Ste 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mr. William Haskins
3908 Ashland Court
Allison Park, PA 15101
Title: Custodian of records
Phone # (724) 602-0277

Treasurer:

Mr. William Haskins
3908 Ashland Court
Allison Park, Pennsylvania 15101
Title: Treasurer
Phone # (724) 602-0277

Designated Agent(s):

Banks or Depositories

PNC
401 Beaver Street
Sewickley, Pennsylvania 15143

Wells Fargo
7901 Wisconsin Ave
Bethesda, Maryland 20814

Access National Bank
1800 Robert Fulton Drive
Reston, Virginia 20191


BB&T
1909 K St NW
Washington, DC 20006

Signed: Mr. William Haskins
Date Signed: 10/28/2013
Official Committee URL: www.keithpa4.com

(End FEC FORM 1)

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