FEC Form 1 for Henry Martin for CongressForm 1 for Henry Martin for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1307644

1. Henry Martin for Congress

PO Box 11055
Kansas City, MO 64119

NOTE: Address is different than previously reported

Email: henry.martin@henrymartinforcongress.com;henrymartin14@gmail.com

2. Date: 10/04/2017

3. FEC Committee ID #: C00659367 This committee is a Principal Campaign Committee. Candidate: Henry Robert Martin
Party: Democratic Party
Office Sought: House of Representatives
State is Missouri in District: 06

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Michael William Shryock
305 3rd Street Terrace
Trimble, MO 64492
Title: Treasurer
Phone # (816) 370-2541

Treasurer:

Michael William Shryock
305 3rd Street Terrace
Trimble, Missouri 64492
Title: Treasurer
Phone # (816) 370-2541

Designated Agent(s):

Dorinda jIMISON
6823 N. Crystal Ave
Kansas City, Missouri 64119
Title: Assistant Treasurer
Phone # (816) 778-1718

Banks or Depositories

US Bank
6405 N. Cosby Ave
Kansas City, Missouri 64151

Signed: Michael William Shryock
Date Signed: 01/28/2019
Official Committee URL: henrymartinforcongress.com

FORM TEXT-1

(End FEC FORM 1)

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