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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1001100

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1. Don Bacon for Congress

    P.O. Box 391368
    Omaha, NE 68139
    Email: don@donbacon2016.com;mark@donbacon2016.com

2. Date: 04/03/2015

3. FEC Committee ID #: C00575167 This committee is a Principal Campaign Committee. Candidate: Mr. Donald John Bacon
Party: Republican Party
Office Sought: House of Representatives
State is Nebraska in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Mark Edward Dreiling
804 Lexington Lane
Papillion, NE 68046
Title: Campaign Director
Phone # (402) 290-3188

Treasurer:

Scott Alan Brokke
1910 S. 72nd Street
Suite 200
Omaha, Nebraska 68124
Title: Treasurer
Phone # (402) 341-9441

Designated Agent(s):

Banks or Depositories

SAC Federal Credit Union
7148 Towne Center Parkway
Papillion, Nebraska 68046

Signed: Scott Alan Brokke
Date Signed: 04/04/2015
Official Committee URL: www.donbacon2016.com

(End FEC FORM 1)

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