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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1058718

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1. Nelson for Wisconsin

    PO Box 348
    Kaukauna, WI 54130
    Email: info@nelsonforwisconsin.com;vwinpisinger@gmail.com

2. Date: 04/07/2016

3. FEC Committee ID #: C00614115 This committee is a Principal Campaign Committee. Candidate: Tom Nelson
Party: Democratic Party
Office Sought: House of Representatives
State is Wisconsin in District: 08

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Vickie L. Winpisinger
315 Inspiration Lane
Gaithersburg, MD 20878
Title: Deputy Treasurer
Phone # (301) 947-0278

Treasurer:

Dr. Beth Gillis
N5740 Wolf River Court
Shawano, Wisconsin 54166
Title: Treasurer
Phone # (715) 526-2400

Designated Agent(s):

Banks or Depositories

Bank of Kaukauna
264 W. Wisconsin Avenue
Kaukauna, Wisconsin 54130

Signed: Dr. Beth Gillis
Date Signed: 04/07/2016
Official Committee URL: www.nelsonforwisconsin.com

(End FEC FORM 1)

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