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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-705643

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1. Moore For Congress

    PO Box 16646
    Milwaukee, WI 53216
    Email: gwenmoore2010@gmail.com

2. Date: 01/14/2011

3. FEC Committee ID #: C00397505 This committee is a Principal Campaign Committee. Candidate: Gwendolynne Moore
Party: Democratic Party
Office Sought: House of Representatives
State is Wisconsin in District: 04

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Shirley A Ellis
3629 N 57th St
Milwaukee, WI 53216
Title: Custodian of Record

Treasurer:

Ellen Bravo
PO Box 16646
Milwaukee, Wisconsin 53216
Title: Treasurer

Designated Agent(s):

Banks or Depositories

TCF National Bank
800 Burr Ridge Pkwy
Burr Ridge, Illinois 60527

Signed: Ellen Bravo
Date Signed: 01/14/2011

(End FEC FORM 1)

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