FEC Form 1 for Tim Bjorkman for South DakotaForm 1 for Tim Bjorkman for South Dakota

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1169851

1. Tim Bjorkman for South Dakota

441 W. Ash St.
Canistota, SD 57012
Email: kay59bjo@yahoo.com;tblaw@unitelsd.com

2. Date: 07/12/2017

3. FEC Committee ID #: C00650226 This committee is a Principal Campaign Committee. Candidate: Timothy Bjorkman
Party: Democratic Party
Office Sought: House of Representatives
State is South Dakota in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Dr. Tom Ortman
9210 W. Broek Drive
Sioux Falls, SD 57106

Treasurer:

Dr. Tom Ortman
9210 W. Broek Drive
Sioux Falls, South Dakota 57106

Designated Agent(s):

Carol Bjorkman
441 W. Ash St.
P.O. Box 201
Canistota, South Dakota 57012
Phone # (605) 296-3300

Banks or Depositories

Security State Bank
315 Main St.
Canistota, South Dakota 57012

Signed: Dr. Tom Ortman
Date Signed: 07/12/2017
Official Committee URL: TimBjorkman.com

(End FEC FORM 1)

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