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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-764139

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1. Bachmann for Congress

    NOTE:Commmittee Name is different than previously reported

    PO Box 25950
    Woodbury, MN 551250950
    Email: danpuhl@cardinalsfec.com

    NOTE: Email address is different than previously reported

2. Date: 01/25/2012

3. FEC Committee ID #: C00410118 This committee is a Principal Campaign Committee. Candidate: Michele Bachmann
Party: Republican Party
Office Sought: House of Representatives
State is Minnesota in District: 06

Affiliated Committees/Organizations

Committee ID# C00497511
Bachmann For President
PO Box 251310
Woodbury, Minnesota 551256310
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Daniel Puhl
6043 Hudson Road
Suite 385
Woodbury, MN 551251020
Title: Treasurer

Treasurer:

Daniel Puhl
6043 Hudson Road
Suite 385
Woodbury, Minnesota 551251020
Title: Treasurer

Designated Agent(s):

Banks or Depositories

TCF Bank
801 Marquette Avenue
Minneapolis, Minnesota 554022807

The Bank Of Tampa
PO Box 1
Tampa, Florida 336010001

Centrabank
18750 North Pointe Drive
Hagerstown, Maryland 217422418

Signed: Daniel Puhl
Date Signed: 02/01/2012
Official Committee URL: www.michelebachmann.com

(End FEC FORM 1)

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