FEC Form 1 for JILL STEIN FOR PRESIDENTForm 1 for JILL STEIN FOR PRESIDENT

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1490200

1. JILL STEIN FOR PRESIDENT

P.O. Box 550017
NORTH WALTHAM, MA 02455

NOTE: Address is different than previously reported

Email: GreenRainbow.Rising@gmail.com;Steven.Welzer@gmail.com

NOTE: Email address is different than previously reported

2. Date: 01/24/2021

3. FEC Committee ID #: C00581199 This committee is a Principal Campaign Committee. Candidate: JILL STEIN
Party: Green Party
Office Sought: President
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Matthew Kozlowski
1750 Fordem Ave
#706
Madison, WI 53704
Title: Custodian of Records
Phone # (715) 571-1577

Treasurer:

Steven Welzer
58 Brooktree Rd
East Windsor, New Jersey 08520
Title: Treasurer
Phone # (609) 443-6782

Designated Agent(s):

Banks or Depositories

Summit Credit Union
PO Box 8046
Madison, Wisconsin 53708

Signed: Steven Welzer
Date Signed: 01/24/2021

NOTE: URL is different than previously reported

FORM TEXT-1

(End FEC FORM 1)

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