FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1673222
1. GRASSROOTS ACTION FUND
PO BOX 9891ARLINGTON, VA 22219
Email: JANNA@CROSBYOTT.COM
NOTE: Email address is different than previously reported
2. Date: 12/22/2022
3. FEC Committee ID #: C00808584This committee is an independent expenditure-only political committee (Super PAC).
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
JANNA RUTLAND
PO BOX 9891
ARLINGTON, VA 22219
Title: TREASURER
Treasurer:
JANNA RUTLAND
PO BOX 9891
ARLINGTON, Virginia 22219
Title: TREASURER
Designated Agent(s):
Banks or Depositories
CHAIN BRIDGE BANK
1445-A LAUGHLIN AVE
MCLEAN, Virginia 22101
Signed: JANNA RUTLAND
Date Signed: 12/22/2022
(End FEC FORM 1)
Date Signed: 12/22/2022