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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1165013

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1. Katherine Clark for Congress

    PO Box 159
    Belmont, MA 024789998
    Email: gemma@chickmontanagroup.com

2. Date: 06/07/2017

3. FEC Committee ID #: C00541888 This committee is a Principal Campaign Committee. Candidate: Katherine Clark
Party: Democratic Party
Office Sought: House of Representatives
State is Massachusetts in District: 05

Affiliated Committees/Organizations

Committee ID# C00639112
Clark Kennedy Victory Fund
PO Box 15
Boston, ____ 02137
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00605600
Clark Tsongas Victory Fund
PO Box 15
Boston, Massachusetts 02137
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00647172
Hassan Clark Victory Fund
PO Box 15
Boston, Massachusetts 02137
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Gemma W Martin
202 Bonham Rd
Dedham, 02026
Title: Treasurer
Phone # (781) 686-9199

Treasurer:

Gemma W Martin
202 Bonham Rd
Dedham, Massachusetts 02026
Title: Treasurer
Phone # (781) 686-9199

Designated Agent(s):

Banks or Depositories

Citizens Bank
73 Tremont St
Boston, Massachusetts 02110

Signed: Gemma W Martin
Date Signed: 05/03/2017

FORM TEXT-1

(End FEC FORM 1)

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