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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1222845

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1. Applegate for Congress

    16633 Ventura Blvd., #1008
    Encino, CA 91436
    Email: jane20@pacbell.net

2. Date: 04/15/2018

3. FEC Committee ID #: C00581595 This committee is a Principal Campaign Committee. Candidate: Douglas Applegate
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 49

Affiliated Committees/Organizations

Committee ID# C00624049
Lofgren Victory Fund
123 E San Carlos St., #531
San Jose, California 95112
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jane Leiderman
16633 Ventura Blvd., #1008
Encino, CA 91436
Title: Custodian of Records
Phone # (323) 655-4065

Treasurer:

Douglas Applegate
16633 Ventura Blvd., #1008
Encino, California 91436
Title: Treasurer
Phone # (323) 655-4065

Designated Agent(s):

None

Banks or Depositories

First Republic Bank
888 S Figueroa St.
Los Angeles, California 90017

Signed: Douglas Applegate
Date Signed: 04/15/2018
Official Committee URL: www.applegateforcongress.com

(End FEC FORM 1)

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