FEC Form 1 for Sheriff David Clarke for U.S. Senate (Official Draft Campaign)Form 1 for Sheriff David Clarke for U.S. Senate (Official Draft Campaign)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1140112

1. Sheriff David Clarke for U.S. Senate (Official Draft Campaign)

P.O. Box 4749
Pinehurst, NC 28374
Email: jackwdaly@gmail.com;jackwdaly@me.com

2. Date: 01/17/2017

3. FEC Committee ID #: C00631382

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:

Mr. Jack W. Daly, Esq.
P.O. Box 4749
Pinehurst, NC 28374
Title: Chairman & Treasurer
Phone # (703) 200-6057

Treasurer:

Mr. Jack W. Daly, Esq.
P.O. Box 4749
Pinehurst, North Carolina 28374
Title: Chairman & Treasurer
Phone # (703) 200-6057

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank, N.A.
110 Central Park Avenue
PInehurst, North Carolina 28374

Signed: Mr. Jack W. Daly, Esq.
Date Signed: 01/19/2017
Official Committee URL: www.SheriffClarkeforSenate.com

FORM TEXT-1

(End FEC FORM 1)

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