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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1183686

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1. SCOTT TAYLOR FOR CONGRESS

    PO BOX 71596
    RICHMOND, VA 23255
    Email: john@forestcs.com

2. Date: 09/30/2017

3. FEC Committee ID #: C00608703 This committee is a Principal Campaign Committee. Candidate: Mr. SCOTT W. TAYLOR
Party: Republican Party
Office Sought: House of Representatives
State is Virginia in District: 02

Affiliated Committees/Organizations

Committee ID# C00633305
AMERICAN LEADERSHIP FUND
PO BOX 71596
RICHMOND, Virginia 23255
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

John G. Selph
PO Box 71596
Richmond, VA 23255
Title: Treasurer
Phone # (804) 270-0791

Treasurer:

John G. Selph
PO Box 71596
Richmond, Virginia 23255
Title: Treasurer
Phone # (804) 270-0791

Designated Agent(s):

Banks or Depositories

Bank of America
3901 Stillman Parkway
Glen Allen, Virginia 23060

First Virginia Community Bank
11325 Random Hills Road
Fairfax, Virginia 22030

Signed: John G. Selph
Date Signed: 09/30/2017

(End FEC FORM 1)

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