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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057096

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1. Kathryn Nance for Congress

    2 Civic Center Dr
    Unit 4338
    San Rafael, CA 94913

    NOTE: Address is different than previously reported

    Email: tom@politicalvisions.com

    NOTE: Email address is different than previously reported

2. Date: 03/23/2016

3. FEC Committee ID #: C00572404 This committee is a Principal Campaign Committee. Candidate: Kathryn Nance
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 09

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Thomas Montgomery
1912 Grand Ave
San Rafael, California 94901
Title: Treasurer
Phone # (415) 250-4036

Designated Agent(s):

Banks or Depositories

US Bank
5800 Northgate Dr.
#051
San rafael, California 94913

Signed: Thomas Montgomery
Date Signed: 03/22/2016

(End FEC FORM 1)

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