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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1561652

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1. Burleson for Congress

    6142 Adams
    Hennessey, OK 73742
    Email: jbebert@pldi.net

2. Date: 01/28/2022

3. FEC Committee ID #: C00802934 This committee is a Principal Campaign Committee. Candidate: Mr. William Wade Burleson
Party: Republican Party
Office Sought: House of Representatives
State is Oklahoma in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mrs. Barbara J Ebert
6142 Adams
Hennessey, OK 73742
Title: Treasurer
Phone # (580) 541-2112

Treasurer:

Mrs. Barbara J Ebert
6142 Adams
Hennessey, Oklahoma 73742
Title: Treasurer
Phone # (580) 541-2112

Designated Agent(s):

Ms. Melonee Lynn Spurlock
5223 Grizzly Lane
Enid, Oklahoma 73703
Title: Assistant Treasurer
Phone # (580) 548-6021

Mrs. Barbara J Ebert
6142 Adams
Hennessey, Oklahoma 73742
Title: Treasurer
Phone # (580) 541-2112

Banks or Depositories

Security National Bank
200 West Maine
Enid, Oklahoma 73701

Signed: Mrs. Barbara J Ebert
Date Signed: 01/29/2022
Official Committee URL: burlesonforcongress.com

(End FEC FORM 1)

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