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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1045070

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1. Richard Mix for Congress

    17 Jefferson St.
    Newnan, GA 30263
    Email: rmix2016@gmail.com

2. Date: 01/29/2016

3. FEC Committee ID #: C00607549 This committee is a Principal Campaign Committee. Candidate: Richard Mix
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Judy Mix
241 Hickory Walk
Marietta, GA 30064
Title: Treasurer
Phone # (770) 241-7844

Treasurer:

Judy Mix
241 Hickory Walk
Marietta, Georgia 30064
Title: Treasurer
Phone # (770) 241-7844

Designated Agent(s):

Kelli Mix
152 Greenfield Way
Newnan, Georgia 30263
Title: Designated Agent
Phone # (770) 634-7242

Banks or Depositories

Bank of America
17 Greenville St.
Newnan, Georgia 30263

Signed: Judy Mix
Date Signed: 01/29/2016
Official Committee URL: rmix2016.com

(End FEC FORM 1)

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