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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1044922

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1. Fred Costello for Congress

    700 W. Granada Blvd.
    Ste. 201
    Ormond Beach, FL 32174
    Email: tax@hollandfinancial.com;fred@electfredcostello.com

2. Date: 01/22/2016

3. FEC Committee ID #: C00607531 This committee is a Principal Campaign Committee. Candidate: Fredrick William Costello
Party: Republican Party
Office Sought:
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David D. Holland
700 W. Granada Blvd.
Ste. 201
Ormond Beach, FL 32174
Title: Treasurer
Phone # (386) 671-7526

Treasurer:

David D. Holland
700 W. Granada Blvd.
Ste. 201
Ormond Beach, Florida 32174
Title: Treasurer
Phone # (386) 671-7526

Designated Agent(s):

Steven B. Tacinelli
700 W. Granada Blvd.
Ste. 201
Ormond Beach, Florida 32174
Title: Assistant Treasurer
Phone # (386) 671-7526

Banks or Depositories

Wellls Fargo Bank
1100 W. Granada Blvd.
Ormond Beach, Florida 32174

Signed: David D. Holland
Date Signed: 01/29/2016
Official Committee URL: www.electfredcostello.com

(End FEC FORM 1)

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