FEC Form 1 for Jason Lewis for Congress, Inc.Form 1 for Jason Lewis for Congress, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1152309

1. Jason Lewis for Congress, Inc.

13800 Nicollet Blvd.
PO Box 3055
Burnsville, MN 55337

NOTE: Address is different than previously reported

Email: JASON@JASONLEWIS2016.COM;JASONLEWIS@REDCURVE.COM

2. Date: 03/15/2017

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

Committee ID# C00632000
LEWIS VICTORY FUND
138 CONANT STREET
2ND FLOOR
BEVERLY, Massachusetts 01915
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00634089
PATRIOT DAY I 2017
PO BOX 9891
ARLINGTON, Virginia 22219
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

BRADLEY T CRATE
138 CONANT STREET
FLOOR 2
BEVERLY, MA 01915
Title: TREASURER
Phone # (617) 303-6800

Treasurer:

BRADLEY T CRATE
138 CONANT STREET
FLOOR 2
BEVERLY, Massachusetts 01915
Title: TREASURER
Phone # (617) 303-6800

Designated Agent(s):

Banks or Depositories

CHAIN BRIDGE BANK
1445 LAUGHLIN AVENUE
MCLEAN, Virginia 22101

Signed: BRADLEY T CRATE
Date Signed: 03/15/2017
Official Committee URL: WWW.JASONFORMN.COM

NOTE: URL is different than previously reported

(End FEC FORM 1)

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