FEC Form 1 for SACKRIN FOR CONGRESSForm 1 for SACKRIN FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1072739

1. SACKRIN FOR CONGRESS

PO BOX 450117
MIAMI, FL 33245
Email: adam@adamsackrin.com

2. Date: 05/18/2016

3. FEC Committee ID #: C00617720 This committee is a Principal Campaign Committee. Candidate: Adam Sackrin
Party: Democratic Party
Office Sought: House of Representatives
State is Florida in District: 27

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

ADAM SACKRIN
PO BOX 450117
MIAMI, FL 33245

Treasurer:

ADAM SACKRIN
PO BOX 450117
MIAMI, Florida 33245

Designated Agent(s):

Banks or Depositories

STONEGATE BANK
929 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, Florida 33009

Signed: ADAM SACKRIN
Date Signed: 05/18/2016

(End FEC FORM 1)

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