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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1097649

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1. Mary Ann Lutz for Congress

    100 W. Lemon Ave. Suite 103
    Monrovia, CA 91016
    Email: maryann@maryannlutzforcongress.com;thecerswells@charter.net

    NOTE: Email address is different than previously reported

2. Date: 08/20/2016

3. FEC Committee ID #: C00624346 This committee is a Principal Campaign Committee. Candidate: Mary Ann Lutz
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 32

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Norman Cerswell
10259 Northridge Dr.
Alta Loma, CA 91737
Title: Treasurer
Phone # (909) 987-2969

Treasurer:

Norman Cerswell
10259 Northridge Dr.
Alta Loma, California 91737
Title: Treasurer
Phone # (909) 987-2969

Designated Agent(s):

Mary Ann Lutz
100 W. Lemon Ave. Suite 103
Monrovia, California 91016
Title: Asst. Treasurer
Phone # (626) 695-6222

Banks or Depositories

US Bank
252 W. Foothill Blvd.
Monrovia, California 91016

Signed: Norman Cerswell
Date Signed: 09/01/2016
Official Committee URL: www.MaryAnnLutzforCongress

(End FEC FORM 1)

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