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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1328437

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1. Michael Blake for Congress

    PO Box 4853
    New York, NY 10185
    Email: janica@pcmsllc.com;info@blakeforcongress.nyc

2. Date: 04/23/2019

3. FEC Committee ID #: C00703603 This committee is a Principal Campaign Committee. Candidate: Michael Alexander Blake
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 15

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Janica Kyriacopoulos
PO Box 65322
Washington, DC 20035
Title: Asst Treasurer
Phone # (202) 628-1580

Treasurer:

Geoffrey T Raicht
PO Box 4853
New York, New York 10185
Title: Treasurer
Phone # (917) 344-0036

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
275 Seventh Ave
New York, New York 10001

Signed: Geoffrey T Raicht
Date Signed: 04/23/2019
Official Committee URL: www.blakeforcongress.nyc

(End FEC FORM 1)

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