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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1394649

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1. Social Security Works PAC

    PO Box 27380
    Washington, DC 200387380

    NOTE: Address is different than previously reported

    Email: pac@socialsecurityworks.org

2. Date: 04/09/2020

3. FEC Committee ID #: C00637504 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Social Security Works
PO Box 27380
Washington, DC 200387380
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Phelan
PO Box 27380
Washington, DC 200387380
Title: Deputy Director
Phone # (202) 455-4744

Treasurer:

Jonathan Ball
PO Box 27380
Washington, DC 200387380
Title: Treasurer

Designated Agent(s):

Banks or Depositories

City First Bank of DC
1432 U St NW
Washington, DC 20009

Signed: Jonathan Ball
Date Signed: 04/10/2020

(End FEC FORM 1)

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