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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-768006

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1. Tulsi for Hawaii

    PO Box 75561
    Kapolei, HI 96707
    Email: carol@votetulsi.com

2. Date: 10/01/2011

3. FEC Committee ID #: C00497396 This committee is a Principal Campaign Committee. Candidate: Ms. Tulsi Gabbard
Party: Democratic Party
Office Sought: House of Representatives
State is Hawaii in District: 02

Affiliated Committees/Organizations

Custodian of Records:

Ms. Talia Tamayo Khurana
P.O. 75561
Kapolei, HI 96707
Title: treasurer
Phone # (808) 861-0793

Treasurer:

Ms. Talia Tamayo Khurana
PO Box 75561
Kapolei, Hawaii 96707
Title: treasurer
Phone # (808) 861-0793

Designated Agent(s):

Ms. Carol Gabbard
PO Box 75457
Kapolei, Hawaii 96707
Title: treasurer
Phone # (808) 375-5188

Banks or Depositories

First Hawaiian Bank
590 Farrington Highway
Kapolei, Hawaii 96707

Signed: Ms. Talia Tamayo Khurana
Date Signed: 02/27/2012
Official Committee URL: http://www.votetulsi.com

(End FEC FORM 1)

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