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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754255

1. Ann Marie Buerkle for Congress

PO Box 219
Syracuse, NY 132140219

NOTE: Address is different than previously reported

Email: annbuerkle@gmail.com

2. Date: 12/06/2011

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

NONE
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-
-, New York 00000

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Theodore V. Koch
901 N Washington Street
Suite 102
Alexandria, Virginia 223141535
Title: Assistant Treasurer
Phone # (703) 299-8570

Banks or Depositories

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

Bank Of America
600 N Washington Street
Alexandria, Virginia 223141914

Signed: Thomas J Donovan
Date Signed: 12/06/2011
Official Committee URL: www.buerkleforcongress.com

(End FEC FORM 1)

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