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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1096640

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1. Citizen Beztak

    232 Pilgrim Ave.
    Birmingham, MI 48009

    NOTE: Address is different than previously reported

    Email: kathys@beztak.com

2. Date: 08/23/2016

3. FEC Committee ID #: C00349761

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:

Harold Beznos
19130 Fox Landing
Boca Raton, FL 33434
Title: Treasurer
Phone # (586) 994-9500

Treasurer:

Harold Beznos
19130 Fox Landing
Boca Raton, Florida 33434
Title: Treasurer
Phone # (586) 994-9500

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 7500
Detroit, Michigan 48275

Signed: Harold Beznos
Date Signed: 08/23/2016

(End FEC FORM 1)

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