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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057499

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1. Derrick for Congress

    PO Box 700
    Peru, NY 129720700
    Email: Darryl@CommonCentsConsulting.net

2. Date: 03/26/2016

3. FEC Committee ID #: C00580746 This committee is a Principal Campaign Committee. Candidate: William Mike Derrick
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 21

Affiliated Committees/Organizations

Committee ID# C00611434
Deacon and Derrick Victory Fund
410 1st St SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Darryl Tattrie
PO Box 700
Peru, NY 129720700
Title: Treasurer

Treasurer:

Darryl Tattrie
PO Box 700
Peru, New York 129720700
Title: Treasurer

Designated Agent(s):

Buck Bobbin
PO Box 700
Peru, New York 129720700
Title: Assistant Treasurer

Banks or Depositories

TD Bank
2990 Main St
Peru, New York 12972

Bank of America
201 Pennsylvania Ave SE
Washington, DC 20003

Signed: Darryl P. Tattrie
Date Signed: 03/26/2016
Official Committee URL: www.DerrickForCongress.com

(End FEC FORM 1)

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