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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1528340

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1. Cicely Davis for Congress

    5115 Excelsior Blvd.
    #311
    Saint Louis Park, MN 55416
    Email: tcdatwyler@gmail.com

2. Date: 07/17/2021

3. FEC Committee ID #: C00784843 This committee is a Principal Campaign Committee. Candidate: Cicely Davis
Party: Republican Party
Office Sought: House of Representatives
State is Minnesota in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Thomas Datwyler
PO Box 183
Hudson, WI 54016
Title: Treasurer
Phone # (715) 338-8544

Treasurer:

Thomas Datwyler
PO Box 183
Hudson, Wisconsin 54016
Title: Treasurer
Phone # (715) 338-8544

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445A Laughlin Avenue
McLean, Virginia 22101

Signed: Thomas Datwyler
Date Signed: 07/17/2021

(End FEC FORM 1)

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