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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-846904

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1. Jeffries for Congress

    630 Washington Avenue
    Brooklyn, NY 11238
    Email: JeffriesForCongress@gmail.com

2. Date: 01/12/2013

3. FEC Committee ID #: C00503052 This committee is a Principal Campaign Committee. Candidate: Hakeem Jeffries
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 08

Affiliated Committees/Organizations

Custodian of Records:

Dominick Cromartie
257 Gold Street
Apt 7B
Brooklyn, NY 11238
Title: Treasurer
Phone # (917) 392-0459

Treasurer:

Dominick Cromartie
257 Gold Street
Apt 7B
Brooklyn, New York 11201
Title: Treasurer
Phone # (917) 392-0459

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1212 Fulton Street
Brooklyn, New York 11216

Signed: Lauren Bierman
Date Signed: 01/14/2013
Official Committee URL: http://www.JeffriesForCongress.com

(End FEC FORM 1)

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