FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-769060
1. Laguna Woods Democratic Club
2173 Via Mariposa #PLaguna Woods, CA 92673
NOTE: Address is different than previously reported
Email: giovanii@campaigntreasurer.comNOTE: Email address is different than previously reported
2. Date: 03/05/2012
3. FEC Committee ID #: C00447185This 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:
Leroy Harrell
2173 Via Mariposa #P
Laguna Woods, CA 92673
Title: Treasurer
Phone # (949) 510-5567
Treasurer:
Leroy Harrell
2173 Via Mariposa #P
Laguna Woods, California 92673
Title: Treasurer
Phone # (949) 510-5567
Designated Agent(s):
Banks or Depositories
US Bank
24340 El Toro Road
Laguna Woods, California 92673
Signed: Leroy Harell
Date Signed: 03/05/2012
(End FEC FORM 1)
Date Signed: 03/05/2012