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FEC Form 1 for Citizens for Tom PetriForm 1 for Citizens for Tom Petri

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-734759


1. Citizens for Tom Petri

    PO Box 270
    Fond Du Lac, WI 549360270
    Email: tompetri@vbe.com

2. Date: 05/25/2011

3. FEC Committee ID #: C00107003

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

Committee ID# C00496844
Petri-Ribble Invitational
7315 Wisconsin Avenue
Suite 310
Bethesda, Maryland 208143202
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Louis Andrew, Jr.
153 S Macy Street
Fond Du Lac, WI 549354234
Title: Treasurer
Phone # (920) 923-4050

Treasurer:

Louis Andrew, Jr.
153 S Macy Street
Fond Du Lac, Wisconsin 549354234
Title: Treasurer
Phone # (920) 923-4050

Designated Agent(s):

Banks or Depositories

Hometown Bank
80 Sheboygan Street
Fond Du Lac, Wisconsin 549354333

Wachovia Bank, N.A.
7901 Wisconsin Avenue
Bethesda, Maryland 208143619

Signed: Louis Andrew, Jr.
Date Signed: 07/13/2011
Official Committee URL: www.petripeople.org

(End FEC FORM 1)


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