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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1374504

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1. BURGESS 4 UTAH

    NOTE:Commmittee Name is different than previously reported

    370 EAST SOUTH TEMPLE STE 580
    SALT LAKE CITY, UT 84111
    Email: MIKE@MCCAULEYASSOCIATESPC.COM;STEVE@MCCAULEYASSOCIATESPC.COM

2. Date: 01/29/2020

3. FEC Committee ID #: C00725853 This committee is a Principal Campaign Committee. Candidate: Burgess Owens
Party: Republican Party
Office Sought: House of Representatives
State is Utah in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mike & McCauley
370 East South Temple
Ste 580
Salt Lake City, UT 84111
Title: Treasurer
Phone # (385) 202-7284

Treasurer:

Mike & McCauley
370 East South Temple
Ste 580
Salt Lake City, Utah 84111
Title: Treasurer
Phone # (385) 202-7284

Designated Agent(s):

Mike & McCauley
370 East South Temple
Ste 580
Salt Lake City, Utah 84111
Title: CPA
Phone # (385) 202-7284

Banks or Depositories

Eagle Bank
2001 K Street NW
Washington, DC 20006

Signed: Mike & McCauley
Date Signed: 01/29/2020

(End FEC FORM 1)

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