FEC Form 1 for Menendez for CongressForm 1 for Menendez for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-164475

1. Menendez for Congress

P.O. Box 848
Union City, NJ 07087
Fax: 2015310724

2. Date: 02/08/2005

3. FEC Committee ID #: C00264564 This committee is a Principal Campaign Committee. Candidate: Robert Menendez
Party: National
Office Sought: House of Representatives
State is New Jersey in District: 13

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Carl Goldberg
18 Castle Court
Randolph, New Jersey 07869
Title: Treasurer
Phone # (201) 271-1661

Designated Agent(s):

John Palumbo
1100 Valley Brook Avenue
Lyndhurst, New Jersey 07071
Title: Assistant Treasurer
Phone # (201) 271-1661

Banks or Depositories

Interchange Bank
Court Plaza North 25 Main St
Hackensack, New Jersey 07602

Signed: Carl Goldberg
Date Signed: 02/08/2005
Official Committee FAX: 2015310724

(End FEC FORM 1)

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