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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1150986

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1. PATRIOT DAY I 2017

    PO BOX 9891
    ARLINGTON, VA 22219
    Email: BEN@CROSBYOTT.COM

2. Date: 02/28/2017

3. FEC Committee ID #: C00634089

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. COMSTOCK FOR CONGRESS      FEC ID number C00554261
2. FASO FOR CONGRESS      FEC ID number C00580415
3. BRIAN FITZPATRICK FOR CONGRESS      FEC ID number C00607416
4. HURD FOR CONGRESS      FEC ID number C00545467
5. ISSA FOR CONGRESS      FEC ID number C00350520
6. STEVE KNIGHT FOR CONGRESS      FEC ID number C00554014
7. JASON LEWIS FOR CONGRESS, INC.      FEC ID number C00589234
8. MAST FOR CONGRESS      FEC ID number C00632257
9. CLAUDIA TENNEY FOR CONGRESS      FEC ID number C00632828
10. VALADAO FOR CONGRESS      FEC ID number C00499392

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

BENJAMIN OTTENHOFF
PO BOX 9891
ARLINGTON, VA 22219
Title: TREASURER

Treasurer:

BENJAMIN OTTENHOFF
PO BOX 9891
ARLINGTON, Virginia 22219
Title: TREASURER

Designated Agent(s):

Banks or Depositories

CHAIN BRIDGE BANK
1445-A LAUGHLIN AVE
MCLEAN, Virginia 22101

Signed: BENJAMIN OTTENHOFF
Date Signed: 02/28/2017

(End FEC FORM 1)

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