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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1323222

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1. Forsyth County Republican Party

    Post Office Box 1917
    Cumming, GA 30028
    Email: perpetualvjlinz@gmail.com

2. Date: 04/14/2016

3. FEC Committee ID #: C00456871 This committee is a Local committee of the Republican Party Party.

Affiliated Committees/Organizations

Committee ID# C00150672
GEORGIA REPUBLICAN PARTY
P. O. BOX 550008
ATLANTA,, Georgia 30355
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

John Qualls II
P.O. Box 1917
Cumming, GA 30028
Title: Recording Secretary

Treasurer:

Carla Radzikinas
4530 Vanadium Blvd.
Cumming, Georgia 30040
Title: Treasurer
Phone # (513) 967-5923

Designated Agent(s):

Lori Wexler
3110 New University Trail
Cumming, Georgia 30041
Phone # (404) 915-0706

Patrick Bell
1426 Indian Way
Cumming, Georgia 30040
Title: Chairman
Phone # (678) 878-9358

Banks or Depositories

United Community Bank
4365 Browns Bridge Road
Cumming, Georgia 30041

Signed: Carla Radzikinas
Date Signed: 04/09/2019
Official Committee URL: forsythgop.org

(End FEC FORM 1)

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