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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-398683

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1. Candice Miller for Congress

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

2. Date: 01/28/2009

3. FEC Committee ID #: C00365593 This committee is a Principal Campaign Committee. Candidate: Candice S. Miller
Party: Republican 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

Infinex Investments, Inc.
Located at Citizens State Bank
32900 23 Mile Road
Chesterfield, Michigan 480471988

Signed: Robert D. Leslie
Date Signed: 01/28/2009
Official Committee URL: www.candice-miller.com
Official Committee FAX: 5863234288

(End FEC FORM 1)

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