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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1021845

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1. BLAINE FOR CONGRESS

    NOTE:Commmittee Name is different than previously reported

    PO BOX 1025
    JEFFERSON CITY, MO 65102
    Email: amy@bespokekc.com

2. Date: 07/18/2013

3. FEC Committee ID #: C00458679

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

Committee ID# C00447748
BLAINE FOR CONGRESS 2008
P.O. BOX 25
HOLTS SUMMIT, Missouri 65043
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Brice A. Luetkemeyer
PO Box 96
St. Elizabeth, MO 65075
Title: Treasurer
Phone # (573) 493-2313

Treasurer:

Brice A. Luetkemeyer
PO Box 96
St. Elizabeth, Missouri 65075
Title: Treasurer
Phone # (573) 493-2313

Designated Agent(s):

Brice A. Luetkemeyer
PO Box 96
St. Elizabeth, Missouri 65075

Banks or Depositories

Bank of St. Elizabeth
PO Box 96
St. Elizabeth, Missouri 65075

SunTrust Bank
PO Box 4418
Atlanta, Georgia 30302

Signed: Brice A. Luetkemeyer
Date Signed: 08/18/2015
Official Committee URL: www.blaineforcongress.com

(End FEC FORM 1)

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