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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-520766

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1. Michael Grimm for Congress

    560 9th Street
    Brooklyn, NY 112154206
    Email: cpawayne@earthlink.net

2. Date: 12/02/2010

3. FEC Committee ID #: C00470807 This committee is a Principal Campaign Committee. Candidate: Michael Grimm
Party: Republican Party
Office Sought: House of Representatives
State is New York in District: 13

Affiliated Committees/Organizations

Committee ID# C00487660
NY-13 NOMINEE FUND
228 S WASHINGTON ST STE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Wayne T. Muratore
560 9th Street
Brooklyn, New York 112154206
Title: Treasurer
Phone # (718) 788-1616

Designated Agent(s):

Banks or Depositories

Richmond County Savings Bank
3879 Amboy Road
Staten Island, New York 10308

Signed: Wayne T. Muratore
Date Signed: 12/02/2010
Official Committee URL: mikegrimm2010.com

(End FEC FORM 1)

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