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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1156106

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1. Moolenaar for Congress

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

2. Date: 04/10/2017

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

NONE
, ____

Custodian of Records:

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

Treasurer:

Mrs. Kellie M Bos
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Banks or Depositories

Chemical Bank
333 E. Main St
Midland, Michigan 48640

Signed: Mrs. Kellie M Bos
Date Signed: 04/11/2017
Official Committee URL: johnmoolenaarforcongress.com

(End FEC FORM 1)

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