FEC Disclosure Form 1M for Campaign for ChangeForm 1M for Campaign for Change

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-762163

1. Campaign for Change

1147 Hancock St Suite 212
Quincy, MA 02169

2. FEC Committee ID #: C00441501

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	Jim Moran	House of Representatives	Virginia/08	04/16/2011
(ii)	Bill Nelson	Senate	Florida/	05/16/2011
(iii)	David Cicilline	House of Representatives	Rhode Island/01	05/17/2011
(iv)	Peter Welch	House of Representatives	Vermont/	06/06/2011
(v)	Sheldon Whitehouse	Senate	Rhode Island/	06/15/2011

(b) Contributors: The committee received a contribution from its 51st contributor on: 10/28/2008

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 11/20/2007

(d) Qualification: The committee met the above requirements on: 06/15/2011

Treasurer: Thomas R Kiley
Date Signed: 01/30/2012

(End FEC FORM 1M)

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