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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1159252

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1. Sean Buchan for Congress

    2120 Lakeridge Dr
    Winter Haven, FL 33881
    Email: buchansean@aol.com

2. Date: 04/20/2017

3. FEC Committee ID #: C00638015 This committee is a Principal Campaign Committee. Candidate: Sean Alan Buchan
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 09

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr Dane Cusimano
6081 Ocilla Loop
Clermont, FL 34714
Title: Campaign Treasurer

Treasurer:

Mr Dane Cusimano
6081 Ocilla Loop
Clermont, Florida 34714
Title: Campaign Treasurer

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank, N.A.
605 Havendale Blvd
Auburndale, Florida 33823

Signed: Mr Dane Cusimano
Date Signed: 04/20/2017

(End FEC FORM 1)

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