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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1014009

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1. SHABAN FOR CONGRESS

    PO BOX 654
    Fairfield, CT 068240654

    NOTE: Address is different than previously reported

    Email: SHABANFORCONGRESS@GMAIL.COM;JENNIFERGOETZ67@GMAIL.COM

2. Date: 07/14/2015

3. FEC Committee ID #: C00550087 This committee is a Principal Campaign Committee. Candidate: John Shaban
Party: Republican Party
Office Sought: House of Representatives
State is Connecticut in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Jennifer Goetz
24 Thorp Drive
Weston, Connecticut 06883
Phone # (203) 557-3636

Designated Agent(s):

Banks or Depositories

Fairfield County Bank
190 Weston Road
Weston, Connecticut 06883

Signed: Jennifer Goetz
Date Signed: 07/14/2015

(End FEC FORM 1)

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