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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1575960

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1. Mary Miller for Congress

    23326 E County Road 1960 N
    Oakland, IL 61943
    Email: marymiller@rtastrategy.com;bendemarzo@gmail.com

2. Date: 05/18/2021

3. FEC Committee ID #: C00723916 This committee is a Principal Campaign Committee. Candidate: Mary Miller
Party: Republican Party
Office Sought: House of Representatives
State is Illinois in District: 15

Affiliated Committees/Organizations

CRUZ 20 FOR 20 VICTORY FUND
PO BOX 341027
AUSTIN, Texas 78734
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00776013
FREEDOMWORKS VICTORY 2021
111 K ST NE
STE 600
WASHINGTON, DC 20002
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00493783
FRESHMAN AGRICULTURAL REPUBLICAN MEMBE
PO BOX 30844
BETHESDA, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Candidate ID# H0IL15129
MARY MILLER
23326 E COUNTY ROAD 1960 N
OAKLAND, Illinois 61943
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00809921
Mary Miller Victory Committee
23326 E County Road 1960 N
Oakland, Illinois 61943
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

JASON D BOLES
PO BOX 1483
ROSWELL, GA 30077
Title: TREASURER
Phone # (770) 330-6185

Treasurer:

JASON D BOLES
PO BOX 1483
ROSWELL, Georgia 30077
Title: TREASURER
Phone # (770) 330-6185

Designated Agent(s):

Derek Ross
300 Independence Avenue SE
Washington, DC 20003
Title: Attorney In Fact

Rick Thompson
PO Box 1483
Roswell, Georgia 30077
Title: Assistant Treasurer

Banks or Depositories

Longview Bank
PO Box 47
Ogden, Illinois 61859

Truist Bank
2200 Wilson Blvd
Arlington, Virginia 22201

Eagle Bank
2001 K St NW
Washington, DC 20006


Wells Fargo Bank
8302 Woodmont Ave
Bethesda, Maryland 20814


SERVISFIRST BANK
300 GALLERIA PARKWAY SE
SUITE 100
ATLANTA, Georgia 30339

Signed: JASON D BOLES
Date Signed: 03/21/2022
Official Committee URL: www.marymillerforcongress.com

(End FEC FORM 1)

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