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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1153969

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1. Western Alliance of Farmworker Advocates PAC (WAFA PAC)

    68 Pierce Avenue
    San Jose, CA 95110

    NOTE: Address is different than previously reported

    Email: hsapien@cet2000.org

    NOTE: Email address is different than previously reported

2. Date: 03/24/2017

3. FEC Committee ID #: C00407841 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Vona Copp
9321 Silverbend Lane
Elk Grove, CA 95624
Title: Custodian of Records
Phone # (916) 686-1815

Treasurer:

Hermelinda Sapien
68 Pierce Avenue
San Jose, California 95110
Title: Treasurer
Phone # (408) 534-5230

Designated Agent(s):

None

Banks or Depositories

Wells Fargo Bank
400 Capitol Mall
Sacramento, California 95814

Signed: Hermelinda Sapien
Date Signed: 03/24/2017

FORM TEXT-1

(End FEC FORM 1)

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