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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030031

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1. Friends of Donald Larson

    PO Box 771023
    Lakewood, OH 44107
    Email: Prosperity@FriendsOfDonaldLarson.com

2. Date: 10/19/2015

3. FEC Committee ID #: C00589986 This committee is a Principal Campaign Committee. Candidate: Donald Philip Larson
Party: Republican Party
Office Sought: House of Representatives
State is Ohio in District: 09

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Emma Jacqueline Larson
PO Box 771023
Lakewood, OH 44107
Title: Treasurer
Phone # (216) 738-6758

Treasurer:

Emma Jacqueline Larson
PO Box 771023
Lakewood, Ohio 44107
Title: Treasurer
Phone # (216) 738-6758

Designated Agent(s):

Banks or Depositories

First Merit Bank
25 W Prospect Ave
Cleveland, Ohio 44115

Signed: Emma Jacqueline Larson
Date Signed: 10/19/2015
Official Committee URL: www.FriendsOfDonaldLarson.com

(End FEC FORM 1)

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