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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1058816

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1. BergmanForCongress

    N5070 Cisco Lake Road
    Watersmeet, MI 49969
    Email: jack@bergmanforcongress.com;katie@dbcapitolstrategies.com

2. Date: 04/07/2016

3. FEC Committee ID #: C00614214 This committee is a Principal Campaign Committee. Candidate: John Bergman
Party: Republican Party
Office Sought: House of Representatives
State is Michigan in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jane Mohme
6398 Lightfoot Road
Harbor Springs, MI 49740
Title: Custodian of Records
Phone # (231) 526-9433

Treasurer:

Hord Hardin, II
6398 Lightfoot Road
Harbor Springs, Michigan 49740
Title: Treasurer
Phone # (231) 526-9433

Designated Agent(s):

Sarah K. Granger
203 South Union Street
Suite 300
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (202) 210-5431

Banks or Depositories

First Community Bank
200 E Main Street
Harbor Springs, Michigan 49740

Access National Bank
1800 Robert Fulton Drive
Reston, Virginia 20191

Signed: Hord Hardin, II
Date Signed: 04/07/2016
Official Committee URL: www.bergmanforcongress.com

(End FEC FORM 1)

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