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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1055405

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1. Moolenaar for Congress

    5915 Eastman Avenue
    Suite 100
    Midland, MI 486406824
    Email: kim.holzhauer@ahpplc.com;gwen.wamhoff@ahpplc.com

2. Date: 01/27/2016

3. FEC Committee ID #: C00561530 This committee is a Principal Campaign Committee. Candidate: Mr. John Moolenaar
Party: Republican Party
Office Sought: House of Representatives
State is Michigan in District: 04

Affiliated Committees/Organizations

Committee ID# C00607093
Michigan Victory 2016
824 S Milledge Ave
Ste 101
Athens, Georgia 306051332
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00493783
Freshman Agricultural Republican Membe
PO Box 30844
Bethesda, Maryland 208240844
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00567677
Republicans Inspiring Success & Empowe
Po Box 2485
Springfield, Virginia 22152
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mrs. Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, MI 486406824
Title: Custodian of Records
Phone # (989) 835-7721

Treasurer:

Mrs. Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Banks or Depositories

BB&T
1909 K Street, NW
Washington, DC 20003

Chemical Bank
333 E. Main St
Midland, Michigan 48640

Suntrust Bank
PO Box 4418
Atlanta, Georgia 30302


Wells Fargo Bank
7905 Wisconsin Ave
MD 1010
Bethesda, Maryland 20814

Signed: Mrs. Gwen D Lang
Date Signed: 03/15/2016
Official Committee URL: johnmoolenaarforcongress.com

(End FEC FORM 1)

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