FEC Form 1 for Anders for Congress, Inc.Form 1 for Anders for Congress, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1051284

1. Anders for Congress, Inc.

90F Glenda Trace #461
Newnan, GA 30265
Email: SamAnders4Congress@gmail.com

2. Date: 02/09/2016

3. FEC Committee ID #: C00609537 This committee is a Principal Campaign Committee. Candidate: Samuel Anders
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Katherine Coxon Anders
90F Glenda Trace #461
Newnan, GA 30265
Title: Treasurer
Phone # (478) 390-5225

Treasurer:

Katherine Coxon Anders
90F Glenda Trace #461
Newnan, Georgia 30265
Title: Treasurer
Phone # (478) 390-5225

Designated Agent(s):

Banks or Depositories

United Community Bank
1528 Highway 74 N
Tyrone, Georgia 30290

Signed: Katherine Coxon Anders
Date Signed: 02/19/2016

(End FEC FORM 1)

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