FEC Form 1 for Dr. Matt Heinz for ArizonaForm 1 for Dr. Matt Heinz for Arizona

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1018406

1. Dr. Matt Heinz for Arizona

P.O. Box 57698
Tucson, AZ 85732
Email: mattheinzcampaign@gmail.com

2. Date: 07/28/2015

3. FEC Committee ID #: C00582221 This committee is a Principal Campaign Committee. Candidate: Dr Matt Heinz
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David Braun
6125 E. Grant Rd.
Tucson, AZ 85712
Title: CPA
Phone # (520) 722-3414

Treasurer:

David Braun
6125 E. Grant Rd.
Tucson, Arizona 85712
Title: CPA
Phone # (520) 722-3414

Designated Agent(s):

Banks or Depositories

National Bank of Arizona
335 N. Wilmot Rd.
Tucson, Arizona 85711

Signed: David Braun
Date Signed: 07/28/2015
Official Committee URL: www.heinzforarizona.com

(End FEC FORM 1)

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