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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-121892

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1. Earl Pomeroy for Congress

    P.O. Box 746
    Bismarck, ND 58502
    Email: erica.shively@pomeroyforcongress.com

2. Date: 06/03/2004

3. FEC Committee ID #: C00266619 This committee is a Principal Campaign Committee. Candidate: Earl Ralph Pomeroy
Party: National
Office Sought: House of Representatives
State is North Dakota in District: 1

Affiliated Committees/Organizations

Committee ID# C00386342
Frontline Democrats
430 S. Capital St. S.E.
Washington, DC 20003
Relationship: Joint Fundraising

Committee ID# C00401075
Team North Dakota
1902 East Divide
Bismarck, North Dakota 58501
Relationship: Joint Fundraising

Custodian of Records:

Erica Shively
P.O. Box746
Bismarck, ND 58502
Title: dep. Camp. Manager
Phone # (701) 222-0420

Treasurer:

William Lardy
P.O. Box 746
Bismarck, North Dakota 58502
Title: Treasurer
Phone # (701) 222-0420

Designated Agent(s):

Banks or Depositories

Bank of America NA
730 15th St. N.W.
Washington, DC 20005

Bank Center First
320 N 4th St.
Bismarck, North Dakota 58502

Signed: William Lardy
Date Signed: 06/03/2004
Official Committee URL: www.pomeroyforcongress.com

(End FEC FORM 1)

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