FEC Form 1 for Collins for CongressForm 1 for Collins for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1217858

1. Collins for Congress

PO Box 1295
Gainesville, GA 30503
Email: paul@pdscompliance.com;mgoode@pdscompliance.com

2. Date: 01/24/2017

3. FEC Committee ID #: C00502039 This committee is a Principal Campaign Committee. Candidate: Doug Collins
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 09

Affiliated Committees/Organizations

Committee ID# C00631663
Collins Leadership Fund
824 S, Milledge Ave. Ste. 101
Athens, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Carroll Brian Daniel
PO Box 1438
Gainesville, Georgia 305031438
Title: Treasurer
Phone # (770) 536-3241

Designated Agent(s):

Banks or Depositories

Wells Fargo
400 Montgomery St
San Francisco, California 94104

Entegra Bank
643 EE Butler Parkway
Gainesville, Georgia 30501

Peach State Bank
325 Washington Street
Gainesville, Georgia 30501

Signed: Carroll Brian Daniel
Date Signed: 04/09/2018
Official Committee URL: www.collinsleads.com

(End FEC FORM 1)

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