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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1102491

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1. Bend the Arc Jewish Action Inc. PAC

    1100 H Street
    Suite 630
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Email: mmildner@bendthearc.us

2. Date: 10/01/2016

3. FEC Committee ID #: C00573253 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Bend The Arc Jewish Action, Inc.
1100 H Street
Suite 630
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mark Mildner
330 Seventh Ave
19th Fl
New York, NY 10001
Title: Treasurer
Phone # (212) 213-2113

Treasurer:

Mark Mildner
330 Seventh Ave
19th Fl
New York, New York 10001
Title: Treasurer
Phone # (212) 213-2113

Designated Agent(s):

Jason Kimelman-Block
1100 H Street
Suite 630
Washington, DC 20005
Title: Assistant Treasurer
Phone # (646) 709-5478

Banks or Depositories

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Signed: Mark Mildner
Date Signed: 10/05/2016

(End FEC FORM 1)

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