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FEC Form 1 for Americans for Self-RuleForm 1 for Americans for Self-Rule

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1151294


1. Americans for Self-Rule

    PO BOX 66076
    Washington, DC 200356076
    Email: americansforselfrule@gmail.com

2. Date: 03/03/2017

3. FEC Committee ID #: C00634279

This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

James Fortin
PO BOX 66076
Washington, DC 200356076
Title: Treasurer
Phone # (202) 656-0531

Treasurer:

James Fortin
PO BOX 66076
Washington, DC 200356076
Title: Treasurer
Phone # (202) 656-0531

Designated Agent(s):

Scott Kaiser
PO BOX 66076
Washington, DC 200356076
Title: Assistant Treasurer

Banks or Depositories

Amalgamated Bank
275 Seventh Avenue
New York, New York 10001

Signed: James Fortin
Date Signed: 03/03/2017
Official Committee URL: americansforselfrule.org

FORM TEXT-1

(End FEC FORM 1)


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