FEC Form 1 for Jon Ossoff for CongressForm 1 for Jon Ossoff for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154666

1. Jon Ossoff for Congress

PO Box 450326
Atlanta, GA 31145
Email: ldecot@mbacg.com;mbrengarth@mbacg.com

2. Date: 04/03/2017

3. FEC Committee ID #: C00630426 This committee is a Principal Campaign Committee. Candidate: T. Jonathan Ossoff
Party: Democratic Party
Office Sought: House of Representatives
State is Georgia in District: 06

Affiliated Committees/Organizations

Committee ID# C00636142
Jon Ossoff Victory Fund
611 Pennsylvania Ave SE
Suite 143
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Steven Mele
611 Pennsylvania Ave SE
Suite 143
Washington, DC 20003
Title: Treasurer

Treasurer:

Steven Mele
611 Pennsylvania Ave SE
Suite 143
Washington, DC 20003
Title: Treasurer

Designated Agent(s):

Lauren Decot Lee
611 Pennsylvania Ave SE
Suite 143
Washington, DC 20003
Title: Assistant Treasurer

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154666

1. Jon Ossoff for Congress

2. Date: 04/03/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Steven Mele
Date Signed: 04/03/2017

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1154666

1. Jon Ossoff for Congress

2. Date: 04/03/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Steven Mele Date Signed: 04/03/2017

(End FEC FORM 1)

Signed: Steven Mele
Date Signed: 04/03/2017