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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1029836

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1. LEELANAU COUNTY DEMOCRATIC COMMITTEE

    P.O. Box 215
    EMPIRE, MI 49630

    NOTE: Address is different than previously reported

    Email: leelanaudemocrats@gmail.com;david.jeris@centurytel.net

    NOTE: Email address is different than previously reported

2. Date: 10/16/2015

3. FEC Committee ID #: C00395434 This committee is a committee of the Party.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David W Jeris
11391 S. Hermies Pass
Empire, MI 49630
Title: Treasurer
Phone # (231) 326-2120

Treasurer:

David W Jeris
11391 S. Hermies Pass
Empire, Michigan 49630
Title: Treasurer
Phone # (231) 326-2120

Designated Agent(s):

Banks or Depositories

Huntington Bank
10210 Front Street
Empire, Michigan 49630

Signed: David W Jeris
Date Signed: 10/16/2015

(End FEC FORM 1)

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