FEC Form 1 for BURGESS 4 UTAHForm 1 for BURGESS 4 UTAH

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1430869

1. BURGESS 4 UTAH

370 EAST SOUTH TEMPLE STE 580
SALT LAKE CITY, UT 84111
Email: mike@mccauleyassociatespc.com;Steve@mccauleyassociatespc.com

2. Date: 08/06/2020

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

Committee ID# C00702902
OWENS FOR UT-04
PO BOX 30844
BETHESDA, Maryland 20824
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mike McCauley
370 East South Temple Ste 580
Salt Lake City, UT 84111
Title: CPA
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: 08/06/2020
Official Committee URL: burgess4utah.com

(End FEC FORM 1)

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