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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-998186

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1. Moolenaar for Congress

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

2. Date: 03/08/2015

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

Affiliated Committees/Organizations

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

Custodian of Records:

Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, MI 486406824
Title: Treasurer

Treasurer:

Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Chemical Bank & Trust
333 W Main Street
Midland, Michigan 486405162

Wells Fargo Bank
7901 Wisconsin Avenue
Bethesda, Maryland 208143619

Signed: Gwen D Lang
Date Signed: 03/18/2015
Official Committee URL: johnmoolenaarforcongress.com

(End FEC FORM 1)

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