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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026408

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1. Daniel Giroux for Congress

    PO Box 75301
    Wichita, KS 67209
    Email: evan@danforkansas.com;matt@mdlangley.com

2. Date: 10/01/2015

3. FEC Committee ID #: C00588459 This committee is a Principal Campaign Committee. Candidate: Daniel Bernard Giroux
Party: Democratic Party
Office Sought: House of Representatives
State is Kansas in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jay Fowler
PO Box 75301
Wichita, KS 67209
Title: Treasurer
Phone # (316) 304-9140

Treasurer:

Jay Fowler
PO Box 75301
Wichita, Kansas 67209
Title: Treasurer
Phone # (316) 304-9140

Designated Agent(s):

Matt Langley
1272 Baker Creek Drive
Spring Hill, Tennessee 37174
Title: Compliance Consultan
Phone # (615) 476-8727

Banks or Depositories

Simmons Bank
8525 W Central Avenue
Wichita, Kansas 67212

Signed: Jay Fowler
Date Signed: 10/01/2015
Official Committee URL: www.danforkansas.com

(End FEC FORM 1)

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