FEC Form 1 for Vicky Hartzler for CongressForm 1 for Vicky Hartzler for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-922522

1. Vicky Hartzler for Congress

PO Box 9265
Shawnee Mission, KS 662011865

NOTE: Address is different than previously reported

Email: merilee@e-numerus.com

NOTE: Email address is different than previously reported

2. Date: 04/15/2014

3. FEC Committee ID #: C00464602 This committee is a Principal Campaign Committee. Candidate: Vicky Hartzler
Party: Republican Party
Office Sought: House of Representatives
State is Missouri in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Merilee K. Martin
2030 SW Sims Ave
Topeka, KS 666043547
Title: Custodian of Records
Phone # (785) 633-0240

Treasurer:

Delbert Scott
700 E 7th St
Lowry City, Missouri 64763
Title: Treasurer
Phone # (816) 839-0605

Designated Agent(s):

Banks or Depositories

Hawthorn Bank
100 Plaza Drive
Harrisonville, Missouri 64701

Boone County National Bank
720 E. Broadway
Columbia, Missouri 65203

UMB Bank
5923 SW 29th St
Topeka, Kansas 66614

Signed: Delbert Scott
Date Signed: 04/25/2014
Official Committee URL: www.vickyhartzler.com

(End FEC FORM 1)

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