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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-973844

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1. Kathleen Rice for Congress

    410 Jericho Turnpike
    Suite 200
    Jericho, NY 11753
    Email: campaign@kathleenrice.com

2. Date: 11/25/2014

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# C00567594
Kathleen Rice Victory Fund
1050 17th St NW Ste 590
Washington, DC 20036
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Michael G Norman
410 Jericho Turnpike
Suite 200
Jericho, NY 11753
Title: Treasurer
Phone # (516) 942-0300

Treasurer:

Michael G Norman
410 Jericho Turnpike
Suite 200
Jericho, New York 11753
Title: Treasurer
Phone # (516) 942-0300

Designated Agent(s):

Banks or Depositories

American Community Bank
300 Glen Street
Glen Cove, New York 11542

TD Bank
500 Old Country Road
Plainvie, New York 11803

Signed: Michael G Norman
Date Signed: 11/25/2014
Official Committee URL: www.kathleenrice.com

(End FEC FORM 1)

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