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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1093459

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1. Gregory for Congress

    PO Box 478
    Amityville, NY 11701
    Email: info@duwaynegregory.com;fec@nextlevelpartners.net

2. Date: 08/10/2016

3. FEC Committee ID #: C00578260 This committee is a Principal Campaign Committee. Candidate: DuWayne Gregory
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 02

Affiliated Committees/Organizations

Committee ID# C00623033
Gregory Victory Fund
PO Box 478
Amityville, New York 11701
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jeffrey Casale
PO Box 478
Amityville, NY 11701
Title: Treasurer

Treasurer:

Jeffrey Casale
PO Box 478
Amityville, New York 11701
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank of America
1283 Sunrise Hwy
Copiague, New York 11726

Signed: Jeffrey Casale
Date Signed: 08/10/2016
Official Committee URL: http://www.duwaynegregory.com

(End FEC FORM 1)

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