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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1178643

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1. Dr Matt Heinz for Arizona

    NOTE:Commmittee Name is different than previously reported

    PO Box 57698
    Tucson, AZ 85732
    Email: Media@heinzforarizona.com;fec@cfoconsults.com

    NOTE: Email address is different than previously reported

2. Date: 08/09/2017

3. FEC Committee ID #: C00647727 This committee is a Principal Campaign Committee. Candidate: Dr. Matthew Gerald Heinz
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Brendan Galvin
One Park Row, 5th Floor
Providence, RI 02903
Title: Accountant
Phone # (401) 454-0990

Treasurer:

David Braun
2518 E. Forgeus Street
Tucson, Arizona 85716
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank of America
3480 E. Broadway
Tucson, Arizona 85716

Signed: David Braun
Date Signed: 08/09/2017
Official Committee URL: www.heinzforarizona.com

(End FEC FORM 1)

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