FEC Form 1 for Blum for CongressForm 1 for Blum for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1143809

1. Blum for Congress

2728 Asbury Road Suite 400
Dubuque, IA 52001
Email: admin@rodblum.com

2. Date: 01/30/2017

3. FEC Committee ID #: C00543926 This committee is a Principal Campaign Committee. Candidate: Rodney Blum
Party: Republican Party
Office Sought: House of Representatives
State is Iowa in District: 01

Affiliated Committees/Organizations

Custodian of Records:

Edward Graham
2728 Asbury Road, Suite 400
Dubuque, IA 52001
Title: Treasurer
Phone # (563) 690-2000

Treasurer:

Edward Graham
2728 Asbury Road, Ste 400
Dubuque, Iowa 52001
Title: Treasurer
Phone # (563) 690-2000

Designated Agent(s):

Banks or Depositories

American Trust Bank
895 Main St
Dubuque, Iowa 52001

Signed: Edward Graham
Date Signed: 01/30/2017

(End FEC FORM 1)

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