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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154559

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1. Rick W. Allen for Congress

    P. O. Box 338
    Augusta, GA 30903
    Email: elizabeth@capitolstrategy.us

2. Date: 04/01/2017

3. FEC Committee ID #: C00504019 This committee is a Principal Campaign Committee. Candidate: Richard Allen
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 12

Affiliated Committees/Organizations

Committee ID# C00635938
ALLEN VICTORY FUND
PO BOX 420521
ATLANTA, Georgia 30342
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Elizabeth Barton
2700 Cumberland Pkwy
Ste 150
Atlanta, GA 30339
Title: Custodian
Phone # (404) 285-0999

Treasurer:

E. G. Meybohm
815 Milledge Road
Augusta, Georgia 30904
Title: Treasurer
Phone # (706) 736-3375

Designated Agent(s):

Banks or Depositories

South State Bank
PO Box 15387
Augusta, Georgia 30919

BB&T
3754 Roswell Road
Atlanta, Georgia 30342

Signed: E. G. Meybohm
Date Signed: 04/01/2017
Official Committee URL: www.rickwallenforcongress.com

(End FEC FORM 1)

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