FEC Form 1 for SOUTHERLAND FOR CONGRESSForm 1 for SOUTHERLAND FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-494916

1. SOUTHERLAND FOR CONGRESS

PO BOX 1692
LYNN HAVEN, FL 32444
Email: steve@southerlandforcongress.com

2. Date: 09/22/2010

3. FEC Committee ID #: C00468959 This committee is a Principal Campaign Committee. Candidate: WILLIAM STEVE SOUTHERLAND, II
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 02

Affiliated Committees/Organizations

Committee ID# C00488957
YOUNG GUNS VICTORY FUND II
25 EAST MAIN STREET
RICHMOND, Virginia 23219
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00488874
FOUNDERS JOINT CANDIDATE COMMITTEE
228 S WASHINGTON STREET SUITE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Greg M. Brudnicki
P.O. Box 1692
Lynn Haven, FL 32444
Title: Treasurer

Treasurer:

Greg M. Brudnicki
P.O. Box 1692
Lynn Haven, Florida 32444
Title: Treasurer

Designated Agent(s):

Michele White
P.O. Box 1692
Lynn Haven, Florida 32444
Title: Assistant Treasurer

Banks or Depositories

BankTrust
2315 Highway 77
Lynn Haven, Florida 32444

Sun Trust Bank
11501 West Broad Street
Richmond, Virginia 23233

BB&T
1909 K Street NW
Washington, DC 20006

Signed: Greg M. Brudnicki
Date Signed: 09/22/2010
Official Committee URL: www.southerlandforcongress.com

(End FEC FORM 1)

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