FEC Form 1 for Grass Roots NC DBA Adam Coker for CongressForm 1 for Grass Roots NC DBA Adam Coker for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1038154

1. Grass Roots NC DBA Adam Coker for Congress

407 Old Hampton Road
Boone, NC 28607
Email: adam@cokerforcongress.com;adam@adamcoker.com

2. Date: 01/04/2016

3. FEC Committee ID #: C00602706 This committee is a Principal Campaign Committee. Candidate: Adam Ward Coker
Party: Democratic Party
Office Sought: House of Representatives
State is North Carolina in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Adam Ward Coker
407 Old Hampton Rd
Boone, NC 28607
Title: Treasurer
Phone # (828) 773-0633

Treasurer:

Adam Ward Coker
407 Old Hampton Rd
Boone, North Carolina 28607
Title: Treasurer
Phone # (828) 773-0633

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank, N.A.
958 Blowing Rock Rd
Boone, North Carolina 28607

Signed: Adam Ward Coker
Date Signed: 01/05/2016
Official Committee URL: http://cokerforhouse.com

(End FEC FORM 1)

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