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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-21132

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1. Mica for Congress

    PO Box 181546
    Casselberry, FL 32718
    Email: mica4congress@aol.com

2. Date: 07/13/2001

3. FEC Committee ID #: C00283051 This committee is a Principal Campaign Committee. Candidate: Rep. John L. Mica
Party: National
Office Sought: House of Representatives
State is Florida in District: 07

Affiliated Committees/Organizations

Custodian of Records:

Mr. John L. Mica
2195 Via Tuscany
Winter Park, FL 32789
Title: Candidate
Phone # (407) 644-6422

Treasurer:

W. Edward Langdon
601 N Ferncreek #200
Orlando, Florida 32803
Title: Treasurer
Phone # (407) 898-1396

Designated Agent(s):

Banks or Depositories

Wachovia Bank NA
1201 South Orlando Ave
Winter Park, Florida 32789

Signed: W. Edward Langdon
Date Signed: 10/22/2001

(End FEC FORM 1)

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