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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1428045

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1. Van Orden for Congress

    PO BOX 824
    CHIPPEWA FALLS, WI 54729
    Email: rob@vanordenforcongress.com

    NOTE: Email address is different than previously reported

2. Date: 06/30/2020

3. FEC Committee ID #: C00742007 This committee is a Principal Campaign Committee. Candidate: Mr. Derrick F. Van Orden
Party: Republican Party
Office Sought: House of Representatives
State is Wisconsin in District: 03

Affiliated Committees/Organizations

Custodian of Records:

Mrs. Mary Clancy
11972 Grey Oaks Park Rd.
Glen Allen, VA 23059
Title: Treasurer
Phone # (703) 989-6167

Treasurer:

Mrs. Mary Clancy
11972 Grey Oaks Park Rd.
Glen Allen, Virginia 20359
Title: Treasurer
Phone # (703) 989-6167

Designated Agent(s):

Mrs. Staci Goede
7816 Rose Garden Ln.
Springfield, Virginia 22153
Title: Assistant Treasurer
Phone # (703) 371-5852

Banks or Depositories

Eagle Bank
2001 K St., NW
Washington, DC 20006

Signed: Mrs. Mary Clancy
Date Signed: 07/23/2020
Official Committee URL: www.vanordenforcongress.com

(End FEC FORM 1)

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