FEC Form 1 for Sam Aanestad for Congress CommitteeForm 1 for Sam Aanestad for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773269

1. Sam Aanestad for Congress Committee

P.O. Box 475
Grass Valley, CA 95945
Email: maya@premierehq.com

2. Date: 04/04/2012

3. FEC Committee ID #: C00513580 This committee is a Principal Campaign Committee. Candidate: Samuel Aanestad
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 01

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Maya Clark
2495 Vineyard Drive
Auburn, CA 95603
Title: Custodian of Records
Phone # (916) 365-4050

Treasurer:

Maya Clark
2495 Vineyard Drive
Auburn, California 95603
Title: Treasurer
Phone # (916) 465-4050

Designated Agent(s):

Vona L. Copp
9321 Silverbend Lane
Elk Grove, California 95624
Title: Assistant Treasurer
Phone # (916) 686-1815

Banks or Depositories

Wells Fargo Bank
400 Capitol Mall
Sacramento, California 95814

Signed: Maya Clark
Date Signed: 04/04/2012
Official Committee URL: www.samaanestad.com

FORM TEXT

(End FEC FORM 1)

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