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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1127574

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1. Blue Dog Political Action Committee

    PO Box 83142
    Gaithersburg, MD 20883
    Email: vwinpisinger@msn.com

2. Date: 12/01/2016

3. FEC Committee ID #: C00305318

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:

Vickie Winpisinger
315 Inspiration Lane
Gaithersburg, MD 20878
Title: Assistant Treasurer
Phone # (301) 947-0278

Treasurer:

Kurt Schrader
PO Box 83142
Gaithersburg, Maryland 20883
Title: Treasurer
Phone # (202) 827-8200

Designated Agent(s):

Vickie Winpisinger
315 Inspiration Lane
Gaithersburg, Maryland 20878
Title: Assistant Treasurer
Phone # (301) 947-0278

Banks or Depositories

Bank of America
1048 Quince Orchard Rd
Gaithersburg, Maryland 20878

Signed: Kurt Schrader
Date Signed: 12/01/2016

(End FEC FORM 1)

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