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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1051451

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1. Shawn Roberts for Congress

    4909 SE Brighton Dr.
    Lawton, OK 73501
    Email: roberts4ushouse@gmail.com

2. Date: 02/20/2016

3. FEC Committee ID #: C00609552 This committee is a Principal Campaign Committee. Candidate: Shawn Michael Roberts
Party: Republican Party
Office Sought: House of Representatives
State is Oklahoma in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Shawn Roberts
4909 SE Brighton Dr.
Lawton, OK 73501
Title: Candidate/Treasurer
Phone # (580) 574-7851

Treasurer:

Shawn Roberts
4909 SE Brighton Dr.
Lawton, Oklahoma 73501
Title: Candidate/Treasurer
Phone # (580) 574-7851

Designated Agent(s):

Lesley Roberts
4909 SE Brighton Dr.
Lawton, Oklahoma 73501
Title: Asst. Treasurer
Phone # (580) 458-1304

Banks or Depositories

First National Bank & Trust Co.
130 E. Macarthur
Shawnee, Oklahoma 74804

Signed: Shawn Roberts
Date Signed: 02/20/2016
Official Committee URL: shawnrobertsok.com

(End FEC FORM 1)

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