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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154175

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1. Poliquin For Congress

    PO Box 50
    Oakland, ME 04963
    Email: tcdatwyler@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 03/28/2017

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

Affiliated Committees/Organizations

Committee ID# C00624585
Patriot Victory 2016
320 1ST ST SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Thomas Datwyler
499 South Capitol Street SW
Suite #407
Washington, DC 20003
Title: Custodian

Treasurer:

Timothy Varney
750 Church Road
Bangor, Maine 04401
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bangor Savings Bank
PO Box 930
Bangor, Maine 04402

Signed: Timothy Varney
Date Signed: 03/28/2017
Official Committee URL: http://www.poliquinforcongress.com/

(End FEC FORM 1)

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