FEC Form 1 for SHANE GOETTLE FOR U.S. CONGRESSForm 1 for SHANE GOETTLE FOR U.S. CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1323379

1. SHANE GOETTLE FOR U.S. CONGRESS

PO BOX 572
MANDAN, ND 58554
Email: damongalose@yahoo.com;goettles@gmail.com

NOTE: Email address is different than previously reported

2. Date: 04/10/2019

3. FEC Committee ID #: C00508234 This committee is a Principal Campaign Committee. Candidate: Shane Goettle
Party: Republican Party
Office Sought: House of Representatives
State is North Dakota in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Damon Galose
1940 Foxborough TRL
Flower Mound, TX 75028
Title: Consultant
Phone # (214) 725-1078

Treasurer:

Bruce Furness
P.O. Box 572
Mandan, North Dakota 58554
Title: Treasurer
Phone # (701) 426-0576

Designated Agent(s):

Damon Galose
1940 Foxborough TRL
Flower Mound, Texas 75028
Title: Consultant
Phone # (214) 725-1078

Banks or Depositories

Wells Fargo Bank
400 East Broadway AVE
Bismarck, North Dakota 58501

Signed: Bruce Furness
Date Signed: 04/10/2019

FORM TEXT-1

(End FEC FORM 1)

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