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FEC Form 1 for Jim Costa For CongressForm 1 for Jim Costa For Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1033476


1. Jim Costa For Congress

    2037 W Bullard Avenue
    # 355
    Fresno, CA 937111200
    Email: sdiebert@att.net

2. Date: 11/19/2015

3. FEC Committee ID #: C00391029 This committee is a Principal Campaign Committee. Candidate: Jim Costa
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 16

Affiliated Committees/Organizations

Committee ID# C00591222
FRIENDSGIVING COMMITTEE
P.O. BOX 1174
SPRINGFIELD, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Steven D. Diebert
2037 W Bullard Avenue
# 355
Fresno, CA 937111200
Title: Treasurer
Phone # (559) 281-6024

Treasurer:

Steven D. Diebert
2037 W Bullard Avenue
# 355
Fresno, California 937111200
Title: Treasurer
Phone # (559) 281-6024

Designated Agent(s):

Banks or Depositories

Premier Valley Bank
8355 N Fresno Street
Suite 180
Fresno, California 937201541

Bank of America
201 Pennsylvania Avenue SE

Washington, DC 20003

Signed: Steven D. Diebert
Date Signed: 11/19/2015

(End FEC FORM 1)


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