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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1149104

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1. TEA PARTY FORWARD

    211 N UNION STREET
    SUITE 100
    ALEXANDRIA, VA 22314
    Email: notices@FECCR.com

    NOTE: Email address is different than previously reported

2. Date: 02/15/2017

3. FEC Committee ID #: C00608166

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Sarah K Granger
203 S Union St
Ste 300
Alexandria, VA 22314
Title: Assistant Treasurer

Treasurer:

Dan Backer
203 S Union St
Ste 300
Alexandria, Virginia 22314
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Sarah K Granger
203 S Union St
Ste 300
Alexandria, Virginia 22314
Title: Assistant Treasurer

Banks or Depositories

Access National Bank
4221 Walney Rd
Ste 120
Chantilly, Virginia 20151

Signed: Dan Backer
Date Signed: 02/15/2017
Official Committee URL: www.teapartyforward.com

(End FEC FORM 1)

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