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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1518749


1. JILL STEIN FOR PRESIDENT

    269 12th Street
    Brooklyn, NY 11215
    Email: treasurer@jillstein.net;info@jillstein.net

    NOTE: Email address is different than previously reported

2. Date: 06/04/2021

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:

James Lane
269 12th Street
Brooklyn, New York 11215
Title: Treasurer
Phone # (917) 865-2591

Designated Agent(s):

Banks or Depositories

Summit Credit Union
PO Box 8046
Madison, Wisconsin 53708

Signed: James Lane
Date Signed: 06/04/2021
Official Committee URL: jillstein.net

NOTE: URL is different than previously reported

(End FEC FORM 1)


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