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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1787015

1. BURGESS 4 UTAH

824 S Milledge Ave
Ste 101
Athens, GA 30605
Email: burgess@pdscompliance.com;admin@pdscompliance.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# C00786061
BURGESS OWENS VICTORY COMMITTEE
824 S MILLEDGE AVE STE 101
ATHENS, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00834739
TRANSPORTATION TRUST FUND
502 6TH STREET
HUDSON, Wisconsin 54016
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00869743
LEAN FORWARD AMERICA FUND
502 6TH STREET
HUDSON, Wisconsin 54016
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Paul Kilgore
824 S Milledge Ave Ste 101
Athens, GA 30605
Title: Treasurer
Phone # (706) 534-7780

Treasurer:

Paul Kilgore
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Treasurer
Phone # (706) 534-7780

Designated Agent(s):

Michael Goode
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Assistant Treasurer
Phone # (706) 534-7780

Banks or Depositories

Classic City Bank
2365 West Broad St
Athens, Georgia 30606

Wells Fargo Bank
8302 Woodmont Ave
Bethesda, Maryland 20814

Truist
2200 Wilson Blvd Ste 100
Arlington, Virginia 22201

First Virginia Community Bank
11325 Random Hills Rd
Fairfax, Virginia 22030

Chain Bridge Bank
1445A Laughlin Ave
McLean, Virginia 22101

Signed: Paul Kilgore
Date Signed: 06/03/2024
Official Committee URL: burgess4utah.com

(End FEC FORM 1)

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