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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-847200

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1. Philip A. Hart Democratic Club

    176 S. Main Street
    Suite 4
    Mount Clemens, MI 48043

    NOTE: Address is different than previously reported

    Email: philhartdems@att.net;mad12157@hotmail.com

    NOTE: Email address is different than previously reported

2. Date: 01/18/2012

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

Affiliated Committees/Organizations

Committee ID# C00031054
MICHIGAN DEMOCRATIC STATE CENTRAL COMMITEE
606 Townsend St.
Lansing, Michigan 48933
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Michelle DeBeaussaert
176 S. Main Street
Suite 4
Mount Clemens, MI 48043
Title: Treasurer

Treasurer:

Michelle DeBeaussaert
176 S. Main Street
Suite 4
Mount Clemens, Michigan 48043
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Talmer Bank and Trust
100 North Main Street
Mount Clemens, Michigan 48043

Signed: Michelle DeBeaussaert
Date Signed: 01/16/2013

FORM TEXT

(End FEC FORM 1)

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