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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1164111

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1. PATRIOT DAY II 2017

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

2. Date: 05/25/2017

3. FEC Committee ID #: C00641514

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. DON BACON FOR CONGRESS      FEC ID number C00575167
2. BLUM FOR CONGRESS      FEC ID number C00543926
3. COFFMAN FOR CONGRESS 2018      FEC ID number C00629287
4. CARLOS CURBELO CONGRESS      FEC ID number C00546846
5. DENHAM FOR CONGRESS      FEC ID number C00473272
6. KATKO FOR CONGRESS      FEC ID number C00556365
7. MCSALLY FOR CONGRESS      FEC ID number C00512236
8. FRIENDS OF ERIK PAULSEN      FEC ID number C00439661
9. POLIQUIN FOR CONGRESS      FEC ID number C00518654
10. YOUNG FOR IOWA, INC.      FEC ID number C00545616
11. NRCC      FEC ID number C00075820

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: 05/25/2017

(End FEC FORM 1)

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