I 5. Identify by Name, Address and Position, the Custodian of Books and Accounts (include treasurer s name)

Transcription

1 STATEMENT OF ORGANZATON OF POLTCAL COMMTTEE (PLEASE TYPE) 1. Full Name Oa Committee Citizens Against ncreased Taxes, inc. (include crty, state and zip code) 620 Mcarthur ave. Lehigh Acres, FL Street Address (include city, state and zip code) 620 Mcarthur ave. Lehigh Acres, FL OFFCE USE ONLY Telephone Name of Affiliated or Connected Organization Relationship NONE 3. Area, Scope and Jurisdidon of the Committee Support or not support candidates and legislation. 4. Nature of Organization or Organization s Special nterest (e.g., medical, legal, education, etc.) Political education on support or not supporting candidates and legislation. 5. dentify by Name, Address and Position, the Custodian of Books and Accounts (include treasurer s name) 620 Mcarthur ave Lehigh Acres. FL Committee Title or Position 04 a Treasurer and President DS-DE 5 (Rev. 05/06) (continued on reverse side)

2 ~ - ~. List by Name, Address and Position, Other Principal Officers, ncluding Officers and Members of the Finance Committee, f Any (include chairman's name) Full Name Committee Title or Position 'rank G. Lohlein Villiam Bracken 620 Mcarthur ave. Lehigh Acres FL st President, Treasurer Vice Pres. and Secertary, List by Name, Address, Office Sought and Party Affiliation Each Candidate or Other ndividual that this Committee is Supporting (if none, please indicate) Full Name Office Sought Party ONE NONE NONE. List Any ssues this Committee is Supporting: TAX REDUCTON List Any ssues this Committee is Opposing: WSNG TAXES. f this Committee is Supporting the Entire Ticket of a Party, Give Name of Party NONE 0. n the Event of Dissolution, What Disposition will be Made of ResMual Funds? 3iven to organized charity 1. List all Banks, Safety Deposit Boxes, or Other Depositories Used for Committee Funds Name of Bank or Depository & Account Number CHASE BANK University Drive Fort Myers, FL List all Reports Required to be Filed by this Committee with Federal Officials and the Names, Addresses and Positions of Such Officials, f Any 501~4 Report Title Dates Required to be Filed Name & Position of Official Yearly in December 31, John J. Koester..R.S. P.O. Box 2508 only if reciepts are over Lois G. Lerner Cincinnati, Ohio, $25, form STATE OF FLORDA LEE COUNTY Frank G. Lohlein, certify that the information in this Statement of bganization is complete, true and correct. Signature of Chairman of Political Committee Date

3 ' CAMPAXGN TREASURER'S ACCEPTANCE OF APPONTMENT i.

4 REGSTERED AGENT STATEMENT OF APPOiNTMENT (Section , F.S.) 1 (Please Type) T a OriginalAppointment ChangeofAppoinbnent - Registered Agent and Office nformation Name Frank G. Lohlein Telephone city Lehigh Acres State Florida 1 zip Code Mcarthur Ave. 'lty Lehigh Acres State Florida ZiPCde Signadre af Regisbed Agent. Date Name 1 Telephone Former Registered Agent and oface nformation (for changes only) Street Address Committee or Organization nformation Name of Committee or Organization CTZENS AGANST NCREASED TAXES,NC Street Address 620 Mcarthur Ave. Telephone city Lehigh Acres 1 State Florida Committee or organization is registered with: 0 Division of Elections Lee County cl city Sibnature of Chairperson Frank G Lohlein Print Name of Chairperson Fonn DS5E 41 (revised 12BS) fl Date (D -LS- pu)

5 SUBJECT: Statement of Political Organization Formation of Political Action Committee Dear Mr. Lohlein: We are in receipt of the Statement of Political Organization and Appointment of Campaign Treasurer and Designation of Bank Depository required under Florida Statutes Chapter 106 that establishes the formation of the political action committee Citizens Against ncreased Taxes, lnc. We are providing the committee chairman and treasurer with the 2006 Political Committee Handbook, Florida Statutes Chapter 106 (campaign financing) and the Calendar of Reporting Dates, Lee County Electronic Financial Reporting System (Candidate and Committee Guidebook). The committee will be required to file periodic campaign treasurer's reports as required by Florida Statutes Chapter 106. Please refer to the enclosed reporting calendar. The committee may be required to register with the nternal Revenue Service. For more information regarding registration requirements with the nternal Revenue Service, you must contact the nternal Revenue Service by at or call the RS Tax Exempt Customer Account Service at , The Lee County Supervisor of Elections can not determine whether a committee will be required to register with the nternal Revenue Service. t is important that the committee contact the nternal Revenue Service to verify whether the committee is exempt from any, or all nternal Revenue SeM'ce registration requirements for political action committees. f you have any questions, please call me at or bfeliciano8leeelections.com. Sincerely, ' Bernie R. Feliciano ' Qualifying Officer Enclosures