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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1328990

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1. Burkett For Utah

    970 E. 700 S.
    #77
    St. George, UT 84790
    Email: info@burkett4utah.com

2. Date: 04/29/2019

3. FEC Committee ID #: C00704437 This committee is a Principal Campaign Committee. Candidate: Mary Burkett
Party: Republican Party
Office Sought: House of Representatives
State is Utah in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mary Burkett
970 E. 700 S.
#77
St. George, UT 84790
Title: Asst. Treasurer
Phone # (801) 203-0572

Treasurer:

Patrick Krason
970 E. 700 S.
#77
St. George, Utah 84790
Title: Treasurer
Phone # (801) 203-0572

Designated Agent(s):

Mary Burkett
970 E. 700 S.
#77
St. George, Utah 84790
Title: Asst Treasurer
Phone # (801) 203-0572

Banks or Depositories

Wells Fargo Bank
1 S Main St
St. George, Utah 84770

Signed: Patrick Krason
Date Signed: 04/29/2019
Official Committee URL: www.burkett4utah.com

(End FEC FORM 1)

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