FEC Form 1 for Michael Grimm for CongressForm 1 for Michael Grimm for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-877015

1. Michael Grimm for Congress

PO Box 61806
Staten Island, NY 103067806
Email: info@concentricoffice.com

2. Date: 07/01/2013

3. FEC Committee ID #: C00470807 This committee is a Principal Campaign Committee. Candidate: Michael Grimm
Party: Republican Party
Office Sought: House of Representatives
State is New York in District: 13

Affiliated Committees/Organizations

Committee To Protect Prosperity and Free Enterprise
PO Box 30844
Bethesda, Maryland 208240844
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Sue Carlin
PO Box 2485
Springfield, VA 221520485
Title: Custodian of Records
Phone # (703) 569-9481

Treasurer:

Robert F. Carlin
PO Box 2485
Springfield, Virginia 221520485
Title: Treasurer
Phone # (703) 569-9481

Designated Agent(s):

Banks or Depositories

New York Community Bank
3879 Amboy Road
Staten Island, New York 103082418

BB&T
1909 K Street NW
Washington, DC 200061152

Wells Fargo N.A.
7901 Wisconsin Avenue
# MD1010
Bethesda, Maryland 208143619

Signed: Robert F. Carlin
Date Signed: 07/11/2013
Official Committee URL: grimmforcongress.com

(End FEC FORM 1)

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