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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1360913

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1. Dr. Chuck for Congress

    NOTE:Commmittee Name is different than previously reported

    PO Box 20730
    Indianapolis, IN 46220
    Email: jcardwell@jeffcardwell.gop;lraab@cardwellhomecenter.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:

Jeff Cardwell
PO Box 20730
Indianapolis, IN 46220
Title: Treasurer
Phone # (317) 781-4769

Treasurer:

Jeff Cardwell
PO Box 20730
Indianapolis, Indiana 46220
Title: Treasurer
Phone # (317) 781-4769

Designated Agent(s):

Banks or Depositories

PNC Bank
195 Main Street
Zionsville, Indiana 46077

Signed: Jeff Cardwell
Date Signed: 10/25/2019
Official Committee URL: www.drchuckforcongress.com

(End FEC FORM 1)

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