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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1162227

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1. Chase Kohne for Congress

    PO BOX 306
    Castle Rock, CO 80104
    Email: kohneforcongress@gmail.com;chasekohne40@gmail.com

2. Date: 05/14/2017

3. FEC Committee ID #: C00640375 This committee is a Principal Campaign Committee. Candidate: Dr. Steven Chase Kohne
Party: Democratic Party
Office Sought: House of Representatives
State is Colorado in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Dr. Steven Chase Kohne
2515 Coach House Loop
Castle Rock, CO 80109
Title: Treasurer
Phone # (720) 955-9454

Treasurer:

Dr. Steven Chase Kohne
2515 Coach House Loop
Castle Rock, Colorado 80109
Title: Treasurer
Phone # (720) 955-9454

Designated Agent(s):

Christina Sloan
580 S Dahlia Circle
#J103
Glendale, Colorado 80246
Title: Designated Agent
Phone # (951) 205-0626

Banks or Depositories

Wells Fargo Bank
747 Genoa Way
Castle Rock, Colorado 80109

Signed: Dr. Steven Chase Kohne
Date Signed: 05/14/2017
Official Committee URL: www.chasekohneforcongress.com

(End FEC FORM 1)

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