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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1093646

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1. Illinois Coordinated Victory Fund 2016

    PO Box 10933
    Chicago, IL 60610
    Email: illinoiscvf@gmail.com

2. Date: 08/12/2016

3. FEC Committee ID #: C00623785

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, at least one of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

1. TAMMY FOR ILLINOIS      FEC ID number C00574889
2. DEMOCRATIC PARTY OF ILLINOIS      FEC ID number C00167015

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, MA 02035
Title: Treasurer

Treasurer:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, Massachusetts 02035
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Citizens Bank
1415 Boston Providence Highway
Norwood, Massachusetts 02062

Signed: Keith D. Lowey
Date Signed: 08/12/2016

(End FEC FORM 1)

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