FEC Form 1 for Dion For NWIForm 1 for Dion For NWI

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1371749

1. Dion For NWI

1018 Providence Street
Michigan City, IN 46360
Email: treasurer@dionbergeron.com;dionmbergeron@gmail.com

2. Date: 01/21/2020

3. FEC Committee ID #: C00735639 This committee is a Principal Campaign Committee. Candidate: Mr. Dion Michael Bergeron
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mrs. Elizabeth Tara Bergeron
1018 Providence Street
Michigan City, IN 46360
Title: Treasurer
Phone # (219) 380-9625

Treasurer:

Mrs. Elizabeth Tara Bergeron
1018 Providence Street
Michigan City, Indiana 46360
Title: Treasurer
Phone # (219) 380-9625

Designated Agent(s):

Banks or Depositories

Centier
5501 Franklin Street
Michigan City, Indiana 46360

Signed: Mrs. Elizabeth Tara Bergeron
Date Signed: 01/21/2020
Official Committee URL: www.dionbergeron.com

(End FEC FORM 1)

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