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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-948005

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1. Katherine Clark for Congress

    PO Box 361
    Malden, MA 02148
    Email: gemma@chickmontanagroup.com

2. Date: 08/24/2014

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# C00567321
KUSTER CLARK 2014 VICTORY FUND
PO BOX 15
Readville, Massachusetts 02137
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Gemma W Martin
202 Bonham Rd
Dedham, MA 02026
Title: Treasurer

Treasurer:

Gemma W Martin
202 Bonham Rd
Dedham, Massachusetts 02026
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Citizens Bank
73 Tremont St
Boston, Massachusetts 02108

Signed: Gemma W. Martin
Date Signed: 08/24/2014

(End FEC FORM 1)

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