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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1139248

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1. Nelson for New York

    2 St. Johns Pl.
    P.O. Box 781
    Stillwater, NY 12170
    Email: pfnelson12@gmail.com;cat.nelson76@gmail.com

2. Date: 01/17/2017

3. FEC Committee ID #: C00631127 This committee is a Principal Campaign Committee. Candidate: Patrick F Nelson
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 21

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Catherine Nelson
2 St. John's Pl.
PO Box 781
Stillwater, NY 12170
Title: Treasurer
Phone # (518) 664-3664

Treasurer:

Catherine Nelson
2 St. John's Pl.
PO Box 781
Stillwater, New York 12170
Title: Treasurer
Phone # (518) 664-3664

Designated Agent(s):

Patrick F Nelson
2 St. John's Pl
PO Box 781
Stillwater, New York 12170
Title: Candidate
Phone # (518) 495-6178

Banks or Depositories

TD Bank NA
5 Park Plaza
Mechanicville, New York 12118

Signed: Catherine Nelson
Date Signed: 01/17/2017
Official Committee URL: www.nelsonforny.com

(End FEC FORM 1)

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