FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1123364
1. MALIBU DEMOCRATIC CLUB
PO BOX 561MALIBU, CA 90265
NOTE: Address is different than previously reported
Email: lancesimmens@verizon.net;dougrosen@charter.net2. Date: 11/03/2016
3. FEC Committee ID #: C00405795This 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:
Doug Rosen
479 Cold Canyon Rd.
Monte Nido, CA 91302
Title: Treasurer
Treasurer:
Doug Rosen
479 Cold Canyon Rd.
Monte Nido, California 91302
Title: Treasurer
Designated Agent(s):
Banks or Depositories
Bank of America
P.O. Box 25118
Tampa, Florida 336225118
Signed: Lance Simmons
Date Signed: 11/03/2016
Official Committee URL: www.malibudemocraticclub.org
(End FEC FORM 1)
Date Signed: 11/03/2016
Official Committee URL: www.malibudemocraticclub.org