FEC Form 1 for Josh Gottheimer for CongressForm 1 for Josh Gottheimer for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135925

1. Josh Gottheimer for Congress

PO Box 584
Ridgewood, NJ 07451
Email: info@josh4congress.com;janica@pcmsllc.com

2. Date: 12/21/2016

3. FEC Committee ID #: C00573949 This committee is a Principal Campaign Committee. Candidate: Josh Gottheimer
Party: Democratic Party
Office Sought: House of Representatives
State is New Jersey in District: 05

Affiliated Committees/Organizations

Committee ID# C00625038
NJ-5 VICTORY FUND
1050 17th ST NW STE 590
WASHINGTON, DC 20036
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Janica Kyriacopoulos
1050 17th ST NW Ste 590
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 628-1580

Treasurer:

Lauren Cohen
PO Box 584
Ridgewood, New Jersey 07451
Title: Treasurer
Phone # (973) 826-0799

Designated Agent(s):

Banks or Depositories

Bank of America
339 Franklin Ave
Wyckoff, New Jersey 07481

Amalgamated Bank
734 Ridge Rd
Lyndhurst, New Jersey 07071

Signed: Lauren Cohen
Date Signed: 12/21/2016
Official Committee URL: http://www.josh4congress.com

(End FEC FORM 1)

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