FEC Form 1 for Jerry Lewis Political Action CommitteeForm 1 for Jerry Lewis Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1075534

1. Jerry Lewis Political Action Committee

PO Box 247
Redlands, CA 92373
Email: info@campaignfinancial.com

2. Date: 06/01/2016

3. FEC Committee ID #: C00090357

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Campaign Financial Services
PO Box 30844
Bethesda, MD 20824
Title: Custodian of Records
Phone # (301) 654-3220

Treasurer:

Arlene M. Willis
PO Box 247
Redlands, California 92373
Title: Treasurer
Phone # (301) 654-3220

Designated Agent(s):

Banks or Depositories

ArrowHead Credit Union
PO Box 735
San Bernardino, California 924020735

Community Bank
200 East Citrus Avenue
Redlands, California 92373

T. Rowe Price
PO Box 89000
Baltimore, Maryland 212890001

Wells Fargo Bank
7901 Wisconsin Avenue
Bethesda, Maryland 20814

Signed: Arlene M. Willis
Date Signed: 06/01/2016

(End FEC FORM 1)

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