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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034514

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1. WORKING BLUE DEMOCRATIC CLUB

    816 CAMARILLO SPRINGS RD #G
    CAMARILLO, CA 93012
    Email: sshin@kaufmanlegalgroup.com

    NOTE: Email address is different than previously reported

2. Date: 11/30/2015

3. FEC Committee ID #: C00460717

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:

Martel Fraser
816 Camarillo Springs Rd. Ste. G
Camarillo, CA 93012
Title: Treasurer
Phone # (805) 644-3286

Treasurer:

Martel Fraser
816 Camarillo Springs Rd. Ste. G
Camarillo, California 93012
Title: Treasurer
Phone # (805) 644-3286

Designated Agent(s):

Martel Fraser
816 Camarillo Springs Rd. Ste. G
Camarillo, California 93012
Title: Treasurer
Phone # (805) 644-3286

Banks or Depositories

Rabobank
155 S A Street
Oxnard, California 93030

Signed: Martel Fraser
Date Signed: 11/30/2015

(End FEC FORM 1)

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