FEC Form 1 for JUSTIN AMASH FOR CONGRESSForm 1 for JUSTIN AMASH FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1180649

1. JUSTIN AMASH FOR CONGRESS

1500 E BELTLINE AVE SE STE 250
GRAND RAPIDS, MI 49506
Email: treasurer@justinamash.com;jordan@justinamash.com

2. Date: 08/28/2017

3. FEC Committee ID #: C00476291 This committee is a Principal Campaign Committee. Candidate: JUSTIN AMASH
Party: Republican Party
Office Sought: House of Representatives
State is Michigan in District: 03

Affiliated Committees/Organizations

Committee ID# C00650713
FREEDOMWORKS 2017 COMMITTEE
824 S MILLEDGE AVE STE 101
ATHENS, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jordan Bush
1500 E Beltline Ave SE
Ste 250
Grand Rapids, MI 49506
Title: Treasurer
Phone # (616) 719-1935

Treasurer:

Jordan Bush
1500 E Beltline Ave SE
Ste 250
Grand Rapids, Michigan 49506
Title: Treasurer
Phone # (616) 719-1935

Designated Agent(s):

Ben Vanderveen
1500 E Beltline Ave SE
Ste 250
Grand Rapids, Michigan 49506
Title: Assistant Treasurer
Phone # (616) 719-1935

Banks or Depositories

Chemical Bank (FKA Byron Bank)
4024 Park East Court SE
Ste A
Grand Rapids, Michigan 49546

Wells Fargo
420 Montgomery St

San Francisco, California 94104

Signed: Jordan Bush
Date Signed: 08/28/2017
Official Committee URL: www.justinamash.com

(End FEC FORM 1)

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