FEC Form 1 for Dave Camp for CongressForm 1 for Dave Camp for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-901871

1. Dave Camp for Congress

5915 Eastman Avenue
Suite 100
Midland, MI 486406824
Email: gwen.lang@ahpplc.com;kim.holzhauer@ahpplc.com

2. Date: 01/24/2014

3. FEC Committee ID #: C00347476 This committee is a Principal Campaign Committee. Candidate: David Lee Camp
Party: Republican Party
Office Sought: House of Representatives
State is Michigan in District: 04

Affiliated Committees/Organizations

Committee ID# C00545020
Camp Upton Victory Committee
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Ms. Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, MI 486406824
Title: Treasurer
Phone # (989) 835-7721

Treasurer:

Ms. Gwen D Lang
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Ms. Kim D Holzhauer
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Assistant Treasurer
Phone # (989) 835-7721

Banks or Depositories

Chemical Bank
333 W Main Street
Midland, Michigan 486405162

Isabella Bank
2222 N Saginaw Road
Midland, Michigan 486402660

Signed: Ms. Gwen D Lang
Date Signed: 01/24/2014
Official Committee URL: davecampforcongress.com

(End FEC FORM 1)

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