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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1365537

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1. Mark Takano for Congress

    PO Box 5214
    Riverside, CA 92517
    Email: info@marktakano.com;takano@nextlevelpartners.net

    NOTE: Email address is different than previously reported

2. Date: 12/08/2019

3. FEC Committee ID #: C00498667 This committee is a Principal Campaign Committee. Candidate: Mark Takano
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 41

Affiliated Committees/Organizations

Committee ID# C00678425
'83 For '18
PO Box 5418
Takoma Park, Maryland 20913
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00682013
Takano Equality Wave
PO Box 15320
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00682021
Takano California Wave
PO Box 15320
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00698498
David & Mark Equality Fund
PO Box 15320
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00729301
Go for Broke for Veterans
PO Box 15320
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jennifer May
PO Box 5214
Riverside, CA 92517
Title: Treasurer
Phone # (202) 505-1657

Treasurer:

Jennifer May
PO Box 5214
Riverside, California 92517
Title: Treasurer
Phone # (202) 505-1657

Designated Agent(s):

Banks or Depositories

Bank of America
351 E Alessandro Rd
Riverside, California 92508

Eagle Bank
7815 Woodmont Ave
Bethesda, Maryland 20814

Signed: Jennifer May
Date Signed: 12/08/2019
Official Committee URL: http://www.marktakano.com

(End FEC FORM 1)

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