FEC Form 1 for Ann Marie Buerkle for CongressForm 1 for Ann Marie Buerkle for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-479137

1. Ann Marie Buerkle for Congress

3779 Underwood Way
Syracuse, NY 132156600
Email: annbuerkle@gmail.com

2. Date: 07/13/2010

3. FEC Committee ID #: C00473751 This committee is a Principal Campaign Committee. Candidate: Ann Marie Buerkle
Party: Republican Party
Office Sought: House of Representatives
State is New York in District: 25

Affiliated Committees/Organizations

Committee ID# C00484741
U.S..House Victory Committee 2010 Joint Fundraising
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

William McAvoy
1958 W Lake Road
Skaneateles, NY 131529674
Title: Treasurer
Phone # (315) 439-8009

Treasurer:

William McAvoy
1958 W Lake Road
Skaneateles, New York 131529674
Title: Treasurer
Phone # (315) 439-8009

Designated Agent(s):

Thomas J Donovan
413 W Manchester Road
Syracuse, New York 132192417
Title: Assistant Treasurer
Phone # (315) 488-6625

Banks or Depositories

Key Bank National Association
201 S Warren Street
Syracuse, New York 132021671

BB&T
1909 K Street NW
Washington, DC 200061152

Signed: William McAvoy
Date Signed: 07/13/2010
Official Committee URL: buerkleforcongress.com

(End FEC FORM 1)

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