FEC Form 1 for Rubio for Congress 2012Form 1 for Rubio for Congress 2012

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754157

1. Rubio for Congress 2012

1787 Tribute Road, Suite K
Sacramento, CA 95815

NOTE: Address is different than previously reported

Email: rubio2012@deaneandcompany.com

2. Date: 12/02/2011

3. FEC Committee ID #: C00500678 This committee is a Principal Campaign Committee. Candidate: Michael Rubio
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 21

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Shawnda Deane
1787 Tribute Road, Suite K
Sacramento, CA 95815
Title: Custodian of Records
Phone # (916) 285-5733

Treasurer:

Shawnda Deane
1787 Tribute Road, Suite K
Sacramento, California 95815
Title: Treasurer
Phone # (916) 285-5733

Designated Agent(s):

None

Banks or Depositories

Community 1st Bank
2250 Douglas Blvd., Suite 190
Roseville, California 95661

Community 1st Bank
2250 Douglas Blvd., Suite 190
Roseville, California 95661

Signed: Shawnda Deane
Date Signed: 12/02/2011

(End FEC FORM 1)

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