FEC Form 1 for Josh Butner for CongressForm 1 for Josh Butner for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1195363

1. Josh Butner for Congress

PO Box 1446
Escondido, CA 92033
Email: jay@bluewavepolitics.com

2. Date: 12/27/2017

3. FEC Committee ID #: C00637389 This committee is a Principal Campaign Committee. Candidate: Josh Butner
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 50

Affiliated Committees/Organizations

Committee ID# C00653295
Serve America Victory Fund
PO Box 2013
Salem, Massachusetts 019706213
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jay Petterson
119 1st Avenue South
Suite 320
Seattle, WA 98104
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
119 1st Avenue South
Suite 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Banks or Depositories

Bank of America
1350 East Valley Parkway
Escondido, California 92027

Signed: Jay Petterson
Date Signed: 12/27/2017
Official Committee URL: https://joshbutnerforcongress.com/

(End FEC FORM 1)

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