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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-443006

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1. Candice Miller for Congress

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

2. Date: 12/21/2009

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

The Huntington National Bank
48377 Van Dyke Avenue
Shelby Township, Michigan 48317

Infinex Investments, Inc.
538 Preston Avenue
Meriden, Connecticut 06450


Deposit Insurance National Bank
of New Baltimore
51066 Washington Street
New Baltimore, Michigan 48047

Signed: Robert D. Leslie
Date Signed: 12/21/2009
Official Committee URL: www.candice-miller.com

(End FEC FORM 1)

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