FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1058005
1. Vernon County for Bernie
555 E. Jefferson St.Viroqua, WI 54665
Email: lori.harms@gmail.com;wilbur@mwt.net
2. Date: 03/21/2016
3. FEC Committee ID #: C00613562This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Lori Harms
555 E. Jefferson St.
Viroqua, WI 54665
Title: Treasurer
Treasurer:
Lori Harms
555 E. Jefferson St.
Viroqua, Wisconsin 54665
Title: Treasurer
Designated Agent(s):
Attorney George C Wilbur
po box 127
104 W. Main Street
La Farge, Wisconsin 54639
Title: Agent
Phone # (608) 625-4430
Banks or Depositories
Citizens First Bank
101 S. Main St.
Viroqua, Wisconsin 54665
Signed: Lori Harms
Date Signed: 04/02/2016
(End FEC FORM 1)
Date Signed: 04/02/2016