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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1098765

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1. Fifth Congressional District Republican Committee

    5732 40th Avenue South
    Minneapolis, MN 55417
    Email: preya.samsundar@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 09/13/2016

3. FEC Committee ID #: C00426205 This committee is a State committee of the Republican Party Party.

Affiliated Committees/Organizations

Committee ID# C00426205
Fifth Congressional District Republican Committee
5732 40th Avenue South
Minneapolis, Minnesota 55417
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Treasurer:

Preya Samsundar
5732 40th Avenue South
Minneapolis, Minnesota
Title: Treasurer
Phone # (612) 229-7320

Designated Agent(s):

Preya Samsundar
5732 40th Avenue South
Minneapolis, Minnesota 55417
Title: Treasurer
Phone # (612) 229-7320

Banks or Depositories

US Bank
Minneapolis, Minnesota 55417

Signed: Preya Samsundar
Date Signed: 09/13/2016

(End FEC FORM 1)

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