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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1058858

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1. Vernon County Forward

    NOTE:Commmittee Name is different than previously reported

    555 E. Jefferson St.
    Viroqua, WI 54665
    Email: lori.harms@gmail.com;wilbur@mwt.net

2. Date: 03/21/2016

3. FEC Committee ID #: C00613562

This 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):

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: 04/07/2016

(End FEC FORM 1)

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