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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1352844

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1. Democracy Engine, Inc., PAC

    237 Florida Avenue NW
    Washington, DC 20001
    Email: pac@democracyengine.com;jonathan@democracyengine.com

2. Date: 09/19/2019

3. FEC Committee ID #: C00468314 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Democracy Engine, Inc.
237 Florida Avenue NW
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jonathan Zucker
237 Florida Avenue NW
Washington, DC 20001
Title: Treasurer
Phone # (202) 449-9647

Treasurer:

Jonathan Zucker
237 Florida Avenue NW
Washington, DC 20001
Title: Treasurer
Phone # (202) 449-9647

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1536 Wynkoop Street, Suite 906
Denver, Colorado 80202

Signed: Jonathan Zucker
Date Signed: 09/19/2019

(End FEC FORM 1)

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