FEC Form 1 for BergmanForCongressForm 1 for BergmanForCongress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1215846

1. BergmanForCongress

3585 Bunker Hill Rd, #434
Acme, MI 49610
Email: jack@bergmanforcongress.com;paul@pdscompliance.com

2. Date: 06/29/2017

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

Committee ID# C00626507
BERGMAN VICTORY COMMITTEE
PO BOX 9891
ARLINGTON, Virginia 22219
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00567677
REPUBLICANS INSPIRING SUCCESS & EMPOWE
PO BOX 2485
SPRINGFIELD, Virginia 22152
Affiliated Relationship Code: Joint Fundraising Representative

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):

Paul Kilgore
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Assistant Treasurer
Phone # (706) 534-7780

Banks or Depositories

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

ChainBridge Bank
1445-A Laughlin Ave
McLean, Virginia 22101

BB&T
1909 K Street NW
Washington, DC 20003

Signed: Hord Hardin, II
Date Signed: 03/23/2018
Official Committee URL: www.bergmanforcongress.com

(End FEC FORM 1)

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