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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1125661

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1. Jefferson Engaged Democracy Initiative

    18 Landon Way
    Exton, PA 19341
    Email: msunnergren@gmail.com;alex@squidwire.com

2. Date: 11/10/2016

3. FEC Committee ID #: C00628651

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:

Michael Sunnergren
18 Landon Way
Exton, PA 19341
Title: Treasurer

Treasurer:

Michael Sunnergren
18 Landon Way
Exton, Pennsylvania 19341
Title: Treasurer

Designated Agent(s):

Alexander Wright
6832 Phillips Mill Rd
New Hope, Pennsylvania 18930

Banks or Depositories

PNC Bank
1823 Wilmington Pike
Glenn Mills, Pennsylvania 19342

Signed: Michael Sunnergren
Date Signed: 11/10/2016
Official Committee URL: jeffersonintiative.com

(End FEC FORM 1)

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