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FEC Form 1 for Shariff Hasan for CongressForm 1 for Shariff Hasan for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1051799


1. Shariff Hasan for Congress

    5458 Hillcrest Drive
    Los Angeles, CA 90043
    Email: hasan@politicalvisions.com

2. Date: 02/22/2016

3. FEC Committee ID #: C00609792 This committee is a Principal Campaign Committee. Candidate: Shariff M Hasan
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 37

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Thomas E Montgomery, III
1912 Grand Ave
San Rafael, CA 949135703
Title: Treasurer
Phone # (415) 250-4036

Treasurer:

Thomas E Montgomery, III
1912 Grand Ave
San Rafael, California 949135703
Title: Treasurer
Phone # (415) 250-4036

Designated Agent(s):

Thomas E Montgomery, III
1912 Grand Ave
San Rafael, California 949135703
Title: Treasurer
Phone # (415) 250-4036

Banks or Depositories

US Bank
5800 Northgate Dr.
#051
San Rafael, California 94903

Signed: Thomas E Montgomery, III
Date Signed: 02/23/2016

(End FEC FORM 1)


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