FEC Form 1 for Van Orden for CongressForm 1 for Van Orden for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1623278

1. Van Orden for Congress

PO BOX 565
PRAIRIE DU CHIEN, WI 53821

NOTE: Address is different than previously reported

Email: margee@sageadvisorygroup.co

NOTE: Email address is different than previously reported

2. Date: 08/11/2022

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

Committee ID# C00766782
Take Back the House 2022
PO Box 30844
Bethesda, Maryland 20824
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00805788
Team Valor
824 S Milledge Ave.
Suite 101
Athens, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00810036
Valor Honor Country Fund
11972 Grey Oaks Park Rd.
Glen Allen, Virginia 23059
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00816017
Van Orden Victory Fund
11972 Grey Oaks Park Rd
Glen Allen, Virginia 23059
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00805408
Vane Orden Crane Victory Fund
11972 GREY OAKS PARK RD.
Glen Allen, Virginia 23059
Affiliated Relationship Code: Joint Fundraising Representative

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
7815 Woodmont Ave.
Bethesda, DC 20814

Signed: Mrs. Mary Clancy
Date Signed: 08/11/2022
Official Committee URL: www.vanordenforcongress.com

(End FEC FORM 1)

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