FEC Form 1 for CITIZENS TO ELECT SOREN SIMONSENForm 1 for CITIZENS TO ELECT SOREN SIMONSEN

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-823516

1. CITIZENS TO ELECT SOREN SIMONSEN

PO BOX 526082
SALT LAKE CITY, UT 85152
Email: mail@sorensimonsen.com

2. Date: 10/22/2012

3. FEC Committee ID #: C00524629 This committee is a Principal Campaign Committee. Candidate: SOREN DAHL SIMONSEN
Party: Democratic Party
Office Sought: House of Representatives
State is Utah in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Eric Simonsen
PO Box 526082
SLC, UT 841526082
Title: RECORDER
Phone # (512) 470-4259

Treasurer:

BRANDY BROCK
PO BOX 526082
SLC, Utah 84152
Title: TREASURER
Phone # (801) 403-3066

Designated Agent(s):

Michael Kooyman
PO Box 526082
SLC, Utah 841526082
Title: manager
Phone # (801) 232-3654

Banks or Depositories

University Federal Credit Union
PO Box 58025
SLC, Utah 841580025

Signed: BRANDY BROCK
Date Signed: 10/22/2012
Official Committee URL: www.sorensimonsen.com

(End FEC FORM 1)

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