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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1136167

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1. Kathleen Rice for Congress

    PO Box 744
    Mineola, NY 11501
    Email: campaign@kathleenrice.com;fec@nextlevelpartners.net

2. Date: 12/28/2016

3. FEC Committee ID #: C00555813 This committee is a Principal Campaign Committee. Candidate: Kathleen Rice
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 04

Affiliated Committees/Organizations

Committee ID# C00578450
Rice Victory Fund
PO Box 744
Mineola, New York 11501
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jennifer May
PO Box 744
Mineola, NY 11501
Title: Assistant Treasurer
Phone # (202) 505-1657

Treasurer:

Margaret May
PO Box 744
Mineola, New York 11501
Title: Treasurer

Designated Agent(s):

Jennifer May
PO Box 744
Mineola, New York 11501
Title: Assistant Treasurer
Phone # (202) 505-1657

Banks or Depositories

Bank of America
199 Jericho Tpke
Mineola, New York 11501

Signed: Margaret May
Date Signed: 12/28/2016
Official Committee URL: www.kathleenrice.com

(End FEC FORM 1)

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