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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154866

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1. Fitzgerald for Congress

    PO Box 390
    Leavenworth, KS 66048
    Email: campaignfitzgerald@gmail.com;larry.martin@usa.net

2. Date: 04/01/2017

3. FEC Committee ID #: C00636779 This committee is a Principal Campaign Committee. Candidate: Stephen Edward Fitzgerald
Party: Republican Party
Office Sought: House of Representatives
State is Kansas in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Lawrence Arthur Martin, III
11399 170th St
Valley Falls, KS 66088
Title: Treasurer
Phone # (913) 547-1499

Treasurer:

Lawrence Arthur Martin, III
11399 170th St
Valley Falls, Kansas 66088
Title: Treasurer
Phone # (913) 547-1499

Designated Agent(s):

Banks or Depositories

Exchange Bank & Trust
216 W. Riley
Easton, Kansas 66020

Signed: Lawrence Arthur Martin, III
Date Signed: 04/04/2017
Official Committee URL: www.fitzgeraldforcongress.com

(End FEC FORM 1)

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