FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1031271
1. Mr. Southern Missourian In The House PAC
PO Box 30844Bethesda, MD 20824
Email: info@campaignfinancial.com
2. Date: 10/27/2015
3. FEC Committee ID #: C00563726This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.
Affiliated Committees/Organizations
Jason Smith
PO Box 1324
Cape Girardeau, Missouri 63702
Affiliated Relationship Code: Leadership PAC Sponsor
Committee ID# C00573436
Smith Victory
2470 Daniels Bridge Road
Suite 121
Athens, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative
Custodian of Records:
Campaign Financial Services
PO Box 30844
Bethesda, MD 20824
Title: Custodian of Records
Phone # (301) 654-3220
Treasurer:
John Kelly
PO Box 30844
Bethesda, Maryland 20824
Title: Treasurer
Phone # (301) 654-3220
Designated Agent(s):
Banks or Depositories
Wells Fargo Bank
7901 Wisconsin Avenue
MD 1010
Bethesda, Maryland 20814
SunTrust Bank
PO Box 4418
Atlanta, Georgia 30302
Signed: John Kelly
Date Signed: 10/27/2015
(End FEC FORM 1)
Date Signed: 10/27/2015