FEC Form 1 for Everytown for Gun Safety Action Fund, Inc. PAC (Everytown PAC)Form 1 for Everytown for Gun Safety Action Fund, Inc. PAC (Everytown PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1519978

1. Everytown for Gun Safety Action Fund, Inc. PAC (Everytown PAC)

450 Lexington Avenue #4184
New York, NY 10017
Email: PAC@everytown.org;jay@bluewavepolitics.com

2. Date: 06/15/2021

3. FEC Committee ID #: C00640086 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

Everytown for Gun Safety Action Fund, Inc.
450 Lexington Avenue, #4184
New York, New York 10017
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Brouillard
PO Box 4184
New York, NY 10163
Title: Treasurer
Phone # (646) 324-8250

Treasurer:

Michael Brouillard
PO Box 4184
New York, New York 10163
Title: Treasurer
Phone # (646) 324-8250

Designated Agent(s):

Sally Yu
P.O. Box 4184
New York, New York 10163
Title: Assistant Treasurer
Phone # (646) 324-8250

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1519978

1. Everytown for Gun Safety Action Fund, Inc. PAC (Everytown PAC)

2. Date: 06/15/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Michael Brouillard
Date Signed: 06/15/2021

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1519978

1. Everytown for Gun Safety Action Fund, Inc. PAC (Everytown PAC)

2. Date: 06/15/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Michael Brouillard Date Signed: 06/15/2021

(End FEC FORM 1)

Signed: Michael Brouillard
Date Signed: 06/15/2021