FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-760571
1. Democratic Headquarters of the West San Gabriel Valley
11826 The Wye St.El Monte, CA 91732
Email: jholtzhln@aol.com
2. Date: 01/28/2012
3. FEC Committee ID #: C00406488This 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:
Joan Holtz
11826 The Wye St.
El Monte, CA 91732
Title: Custodian of Records
Phone # (562) 983-0815
Treasurer:
Joan Holtz
11826 The Wye St.
El Monte, California 91732
Title: Treasurer
Phone # (562) 983-0815
Designated Agent(s):
Gary Crummitt
110 Pine Ave., #1010
Long Beach, California 90802
Title: Assistant Treasurer
Phone # (562) 983-0815
Banks or Depositories
Wells Fargo Bank
3536 Peck Rd.
El Monte, California 91731
Signed: Joan Holtz
Date Signed: 01/28/2012
(End FEC FORM 1)
Date Signed: 01/28/2012