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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773935

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1. POMONA VALLEY DEMOCRATIC CLUB

    101 West Mission Blvd.
    #110-101
    Pomona, CA 91766
    Email: patworksforyou@gmail.com

2. Date: 04/09/2012

3. FEC Committee ID #: C00457341

This 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:

Helen Mosier
4 Quiet Hills Road
Pomona, CA 91766
Title: Treasurer
Phone # (909) 397-9509

Treasurer:

Helen Mosier
4 Quiet Hills Road
Pomona, California 91766
Title: Treasurer
Phone # (909) 397-9509

Designated Agent(s):

Patrick H Meagher
39439 Canyon Drive
Forest Falls, California 92339
Title: Assistant Treasurer
Phone # (951) 961-6727

Banks or Depositories

Chase Bank
100 West 2nd Street
Pomona, California 91766

Signed: Patrick H Meagher
Date Signed: 04/09/2012
Official Committee URL: pomonavalleydems.org

(End FEC FORM 1)

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