FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-871026
1. Collins for Congress
PO Box 386Clarence, NY 140310386
Email: ccc9660@prodigy.net;jdjakubus@gmail.com
NOTE: Email address is different than previously reported
2. Date: 04/18/2012
3. FEC Committee ID #: C00520379 This committee is a Principal Campaign Committee. Candidate: Christopher C CollinsParty: Republican Party
Office Sought: House of Representatives
State is New York in District: 27
Affiliated Committees/Organizations
Committee ID# C00539940Down With Debt
2470 Daniels Bridge Road
Suite 121
Athens, Georgia 306066191
Affiliated Relationship Code: Joint Fundraising Representative
Committee ID# C00525360
Young Guns 2012 Round 3
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative
Committee ID# C00529826
Western New York Victory Fund
2470 Daniels Bridge Road
Suite 121
Athens, Georgia 306066191
Affiliated Relationship Code: Joint Fundraising Representative
Committee ID# C00493783
Freshman Agriculture Republican Member
PO Box 30844
Bethesda, Maryland 208240844
Affiliated Relationship Code: Joint Fundraising Representative
Custodian of Records:
Jocelyn D. Jakubus68 Brockett Drive
Tonawanda, NY 142231421
Title: Treasurer
Phone # (716) 864-4314
Treasurer:
Jocelyn D. Jakubus68 Brockett Drive
Tonawanda, New York 142231421
Title: Treasurer
Phone # (716) 864-4314
Designated Agent(s):
Banks or Depositories
M&T Bank7300 Transit Road
Williamsville, New York 142216020
SunTrust Bank
PO Box 4418
Atlanta, Georgia 303024418