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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1702604

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1. CAPA21- Federal

    5445 Madison Avenue
    Sacramento, CA 95841
    Email: campaigns@rcbs.us

2. Date: 04/28/2023

3. FEC Committee ID #: C00564690 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Denise Lewis
5445 Madison Avenue
Sacramento, CA 95841
Title: Custodian of Records
Phone # (916) 348-9100

Treasurer:

Denise Lewis
5445 Madison Avenue
Sacramento, California 95841
Title: Treasurer
Phone # (916) 348-9100

Designated Agent(s):

Tamlyn Tomita
440 N Barranca Ave, Unit 5588
Covina, California 91723
Title: Assistant Treasurer
Phone # (415) 874-5550

Banks or Depositories

First Foundation Bank
18101 Von Karman Ave, Suite 750
Irvine, California 92612

Signed: Denise Lewis
Date Signed: 04/28/2023
Official Committee URL: capa21.com

FORM TEXT-1

(End FEC FORM 1)

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