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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-872564

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1. Rick W. Allen for Congress

    P. O. Box 338
    Augusta, GA 30903
    Email: elizabeth@capitolstrategy.us

    NOTE: Email address is different than previously reported

2. Date: 05/24/2013

3. FEC Committee ID #: C00504019 This committee is a Principal Campaign Committee. Candidate: Richard Allen
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 12

Affiliated Committees/Organizations

Custodian of Records:

Elizabeth Barton
2700 Cumberland Pkwy
Ste 150
Atlanta, GA 30339
Title: Custodian
Phone # (404) 285-0999

Treasurer:

E. G. Meybohm
815 Milledge Road
Augusta, Georgia 30904
Title: Treasurer
Phone # (706) 736-3375

Designated Agent(s):

Banks or Depositories

Georgia Bank & Trust
PO Box 15387
Augusta, Georgia 30919

Signed: E. G. Meybohm
Date Signed: 05/24/2013
Official Committee URL: www.rickwallenforcongress.com

(End FEC FORM 1)

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