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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1405365

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1. American Mid-Sized Banks (AMSB) Political Action Committee

    555 South Flower Street
    12th Floor
    Los Angeles, CA 90071
    Email: brent.tjarks@midsizebanks.com

    NOTE: Email address is different than previously reported

2. Date: 05/12/2020

3. FEC Committee ID #: C00501015

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Brent Tjarks
17800 Colima Road
386
Rowland Heights, CA 91748
Title: Asst. Vice President
Phone # (213) 673-8763

Treasurer:

Brent Tjarks
17800 Colima Road
386
Rowland Heights, California 91748
Title: Asst. Vice President
Phone # (213) 673-8763

Designated Agent(s):

Kyler Bishop
1510 Eberhart Avenue
Columbus, Georgia 31906
Title: Assistant Treasurer
Phone # (205) 837-5286

Banks or Depositories

City National Bank
555 South Flower Street
Los Angeles, California 90071

Signed: Brent Tjarks
Date Signed: 05/13/2020

(End FEC FORM 1)

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