FEC Form 1 for Candice Miller for CongressForm 1 for Candice Miller for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-210435

1. Candice Miller for Congress

PO Box 182152
Shelby Township, MI 48318
Fax: 5863234288
Email: info@candice-miller.com

2. Date: 04/12/2006

3. FEC Committee ID #: C00365593 This committee is a Principal Campaign Committee. Candidate: Candice S. Miller
Party:
Office Sought: House of Representatives
State is Michigan in District: 10

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Mr. Robert D. Leslie
83 Macomb Place
Mount Clemens, Michigan 48043
Title: Partner
Phone # (586) 465-6285

Designated Agent(s):

Banks or Depositories

Citizens State Bank
24668 Hall Road
Clinton Township, Michigan 48036

Signed: Robert D. Leslie
Date Signed: 04/12/2006
Official Committee URL: www.candice-miller.com
Official Committee FAX: 5863234288

(End FEC FORM 1)

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