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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1168482

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1. Bliatout For 22

    5429 Madison Avenue
    Sacramento, CA 95841
    Email: campaigns@rcbs.us

2. Date: 07/06/2017

3. FEC Committee ID #: C00649533 This committee is a Principal Campaign Committee. Candidate: Bobby Bliatout
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 22

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Rita Copeland
5429 Madison Avenue
Sacramento, CA 95841
Title: Treasurer
Phone # (916) 348-9100

Treasurer:

Rita Copeland
5429 Madison Avenue
Sacramento, California 95841
Title: Treasurer
Phone # (916) 348-9100

Designated Agent(s):

Banks or Depositories

Community 1st Bank
2250 Douglas Blvd.
Suite 190
Roseville, California 95661

Signed: Rita Copeland
Date Signed: 07/06/2017

(End FEC FORM 1)

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