FEC Form 1 for POLIQUIN FOR CONGRESSForm 1 for POLIQUIN FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1099337

1. POLIQUIN FOR CONGRESS

PO BOX 50
OAKLAND, ME 04963
Email: matt@poliquinforcongress.com;mbbrown49@gmail.com

2. Date: 09/16/2016

3. FEC Committee ID #: C00518654 This committee is a Principal Campaign Committee. Candidate: BRUCE L POLIQUIN
Party: Republican Party
Office Sought: House of Representatives
State is Maine in District: 02

Affiliated Committees/Organizations

Committee ID# C00580696
COMMITTEE TO PROTECT PROSPERITY AND FREE ENTERPRISE
PO BOX 30844
BETHESDA, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00624585
PATRIOT VICTORY 2016
824 S Milledge Ave Ste 101
Athens, Georgia 30302
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Barbara J Brown
49 Glenview Rd
Freeport, ME 04032
Title: Assistant Treasurer
Phone # (207) 233-3049

Treasurer:

Timothy William Varney
750 Church Road
Bangor, Maine 04401
Title: Treasurer
Phone # (207) 944-2250

Designated Agent(s):

Banks or Depositories

Norway Savings Bank
261 Main St
Norway, Maine 04268

Sun Trust Bank
PO Box 4418
Atlanta, Georgia 30302

Wells Fargo Bank
7901 Wisconsin Ave #MD1010
Bethesda, Maryland 20814

Signed: Timothy William Varney
Date Signed: 09/16/2016
Official Committee URL: www.poliquinforcongress.com

(End FEC FORM 1)

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