FEC Form 1 for POLIQUIN FOR CONGRESSForm 1 for POLIQUIN FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996095

1. POLIQUIN FOR CONGRESS

PO BOX 50
OAKLAND, ME 04963
Email: matt@poliquinforcongress.com;mbbrown49@gmail.com

2. Date: 02/03/2015

3. FEC Committee ID #: C00518654 This committee is a Principal Campaign Committee. Candidate: BRUCE L POLIQUIN
Party: Republican Party
Office Sought: House of Representatives
State is Maine in District: 02

Affiliated Committees/Organizations

Committee ID# C00568436
YOUNG GUNS DAY IV 2014
228 S WASHINGTON ST STE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00571505
Pioneer Project
2470 Daniell's Bridge Rd Ste 121
Athens, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00573477
PATRIOT DAY I 2015
228 S WASHINGTON ST STE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Barbara J Brown
49 Glenview Rd
Freeport, ME 04032
Title: Assistant Treasurer
Phone # (207) 233-3049

Treasurer:

Timothy William Varney
750 Church Road
Bangor, Maine 04401
Title: Treasurer
Phone # (207) 944-2250

Designated Agent(s):

Banks or Depositories

Norway Savings Bank
261 Main St
Norway, Maine 04268

BB& T
1909 K Street NW
Washington, DC 20006

Sun Trust Bank
PO Box 4418
Atlanta, Georgia 30302

Signed: Timothy William Varney
Date Signed: 03/05/2015
Official Committee URL: www.poliquinforcongress.com

(End FEC FORM 1)

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