FEC Form 1 for DR TREY BAUCUM CAMPAIGNForm 1 for DR TREY BAUCUM CAMPAIGN

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1098078

1. DR TREY BAUCUM CAMPAIGN

138 CONANT STREET
STE 2
BEVERLY, MA 01915
Email: BAUCUM@REDCURVE.COM

2. Date: 09/07/2016

3. FEC Committee ID #: C00607002 This committee is a Principal Campaign Committee. Candidate: DR. RALPH W BAUCUM, III
Party: Republican Party
Office Sought: House of Representatives
State is Louisiana in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

MR. BRADLEY T. CRATE
138 CONANT STREET
FLOOR 2
BEVERLY, MA 01915
Title: TREASURER
Phone # (617) 303-6800

Treasurer:

MR. BRADLEY T. CRATE
138 CONANT STREET
FLOOR 2
BEVERLY, Massachusetts 01915
Title: TREASURER
Phone # (617) 303-6800

Designated Agent(s):

DR. RALPH W BAUCUM, III
6712 QUERBES DR
SHREVEPORT, Louisiana 71106
Title: ASSISTANT TREASURER
Phone # (318) 469-7234

Banks or Depositories

BANCORP SOUTH
8585 FERN AVE
SHREVEPORT, Louisiana 71105

Signed: MR. BRADLEY T. CRATE
Date Signed: 09/07/2016

(End FEC FORM 1)

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