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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1100982

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1. America Forward Leadership PAC

    1050 17th St NW
    Ste 590
    Washington, DC 20036

    NOTE: Address is different than previously reported

    Email: janica@pcmsllc.com

    NOTE: Email address is different than previously reported

2. Date: 09/19/2016

3. FEC Committee ID #: C00403675

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H6MI01028
John Conyers, Jr.
2727 West 7 Mile Rd
Detroit, Michigan 48221
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Janica Kyriacopoulos
1050 17th St NW
Ste 590
Washington, DC 20036
Title: Treasurer

Treasurer:

Janica Kyriacopoulos
1050 17th St NW
Ste 590
Washington, DC 20036
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Signed: Janica Kyriacopoulos
Date Signed: 09/21/2016

(End FEC FORM 1)

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