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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-914083

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1. New Mexico Grassroots Victory Fund

    PO Box 15293
    Washington, DC 20003
    Email: zamore@capcompliance.com

2. Date: 03/27/2014

3. FEC Committee ID #: C00540211

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

Custodian of Records:

Judith Zamore
PO Box 15293
Washington, DC 20003
Title: Treasurer

Treasurer:

Judith Zamore
PO Box 15293
Washington, DC 20003
Title: Treasurer
Phone # (202) 544-6960

Designated Agent(s):

Marissa Burik
PO Box 15293
Washington, DC 20003
Title: Asst. Treasurer

Banks or Depositories

PNC
650 Pennsylvania Ave. SE
Washington, DC 20003

Signed: Judith Zamore
Date Signed: 03/27/2014

(End FEC FORM 1)

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