FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-760581
1. 47th Assembly District Democratic Club
P.O. Box 4656Culver City, CA 90231
Email: gary@crummittandassociates.com
2. Date: 01/28/2012
3. FEC Committee ID #: C00439299This 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:
Gwendolyn Austin
P.O. Box 4656
Culver City, CA 90231
Title: Custodian of Records
Phone # (323) 692-0669
Treasurer:
Gwendolyn Austin
P.O. Box 4656
Culver City, California 90231
Title: Treasurer
Phone # (323) 692-0669
Designated Agent(s):
Gary Crummitt
110 Pine Ave., #1010
Long Beach, California 90802
Title: Assistant Treasurer
Phone # (562) 983-0815
Banks or Depositories
Citibank
P.O. Box 226526
Dallas, Texas 75260
Signed: Gwendolyn Austin
Date Signed: 01/28/2012
(End FEC FORM 1)
Date Signed: 01/28/2012