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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1126889

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1. Philip A. Hart Democratic Club

    176 S. Main Street
    Suite 4
    Mount Clemens, MI 48043
    Email: philhartdems@gmail.com

2. Date: 11/28/2016

3. FEC Committee ID #: C00224717 This committee is a Local committee of the Party.

Affiliated Committees/Organizations

Committee ID# C00031054
Michigan Democratic State Central
606 Townsend
Lansing, Michigan 48933
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

chemical bank
100 N Main
Mount Clemens, Michigan 48043

Signed: Michelle DeBeaussaert
Date Signed: 11/28/2016

(End FEC FORM 1)

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