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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1027479

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1. Jason Lewis for Congress

    P.O. Box 515
    Cottage Grove, MN 55016
    Email: jason@jasonlewis2016.com;rita@jasonlewis2016.com

2. Date: 10/11/2015

3. FEC Committee ID #: C00589234 This committee is a Principal Campaign Committee. Candidate: Jason Lewis
Party: Republican Party
Office Sought: House of Representatives
State is Minnesota in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Rita Hillmann Olson
3245 Lake Ave
New Prague, MN 56071
Title: Treasurer
Phone # (612) 366-3584

Treasurer:

Rita Hillmann Olson
3245 Lake Ave
New Prague, Minnesota 56071
Title: Treasurer
Phone # (612) 366-3584

Designated Agent(s):

Banks or Depositories

BMO Harris
111 W Monroe Street
Chicago, Illinois 60603

Signed: Rita Hillmann Olson
Date Signed: 10/11/2015
Official Committee URL: www.jasonlewis2016.com

(End FEC FORM 1)

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