FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-756087
1. Democratic Club of the Conejo Valley
NOTE:Commmittee Name is different than previously reported
P.O. Box 4421Thousand Oaks, CA 913591421
Email: riley.neel@att.net
2. Date: 12/30/2011
3. FEC Committee ID #: C00464198This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
None
, ____
Custodian of Records:
Riley Neel
1505 Grissom St.
Thousand Oaks, CA 913622011
Title: Custodian of Records
Phone # (805) 495-2304
Treasurer:
Riley Neel
1505 Grissom St.
Thousand Oaks, California 913622011
Title: Treasurer
Phone # (805) 495-2304
Designated Agent(s):
Gary Crummitt
110 Pine Ave., #1010
Long Beach, California 90802
Title: Assistant Treasurer
Phone # (562) 983-0815
Banks or Depositories
Wells Fargo Bank
5000 E. Santa Rosa Rd.
Camarillo, California 93012
Signed: Riley Neel
Date Signed: 12/30/2011
(End FEC FORM 1)
Date Signed: 12/30/2011