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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1161350

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1. 4 MA PAC

    PO Box 590-464
    Newton, MA 02459
    Email: gemma@chickmontanagroup.com

2. Date: 05/05/2017

3. FEC Committee ID #: C00543504

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Gemma W Martin
202 Bonham Rd
Dedham, MA 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: 05/05/2017

FORM TEXT-1

(End FEC FORM 1)

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