FEC Form 1 for Chuck Dietzen for Congress, Inc.Form 1 for Chuck Dietzen for Congress, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1354674

1. Chuck Dietzen for Congress, Inc.

PO Box 20730
Indianapolis, IN 46220
Email: rp3@henryalan.com

2. Date: 10/03/2019

3. FEC Committee ID #: C00721571 This committee is a Principal Campaign Committee. Candidate: Dr. Chuck Dietzen
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Robert Phillips, III
PO Box 20730
Indianapolis, IN 46220
Title: Treasurer
Phone # (202) 866-8229

Treasurer:

Robert Phillips, III
PO Box 20730
Indianapolis, Indiana 46220
Title: Treasurer
Phone # (202) 866-8229

Designated Agent(s):

Banks or Depositories

The Huntington National Bank
17 S High St
Columbus, Ohio 43215

Signed: Robert Phillips, III
Date Signed: 10/03/2019
Official Committee URL: www.drchuckforcongress.com

(End FEC FORM 1)

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