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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1064579

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1. Conklin4Senate

    28396 E. 150 North Road
    Leroy, IL 61752
    Email: ericconklin@conklin4senate.us;eric344@aol.com

2. Date: 04/18/2016

3. FEC Committee ID #: C00615047 This committee supports/opposes only one candidate and is NOT an Authorized Committee. Candidate Name: Eric Michael Conklin

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Eric Michael Conklin
28396 E. 150 North Road
Leroy, IL 61752
Title: Treasurer
Phone # (843) 697-6997

Treasurer:

Eric Michael Conklin
28396 E. 150 North Road
Leroy, Illinois 61752
Title: Treasurer
Phone # (843) 697-6997

Designated Agent(s):

Eric Michael Conklin
28396 E. 150 North Road
Leroy, Illinois 61752
Title: Chairman
Phone # (843) 697-6997

Banks or Depositories

Bloomington Normal Community Bank
2807 E. Empire St.
Bloomington, Illinois 61704

Signed: Eric Michael Conklin
Date Signed: 04/18/2016
Official Committee URL: https://www.conklin4senate.us

(End FEC FORM 1)

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