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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1174208

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1. Kirkpatrick for Congress

    PO Box 3015
    Tucson, AZ 85702
    Email: smele@mbacg.com;lsnyder@mbacg.com

2. Date: 07/20/2017

3. FEC Committee ID #: C00651042 This committee is a Principal Campaign Committee. Candidate: Ann Kirkpatrick
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 02

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Steven Mele
611 Pennsylvania Ave SE, #143
Washington, DC 20003
Title: Assistant Treasurer

Treasurer:

Daniel Flores
PO Box 3015
Tucson, Arizona 85702
Title: Treasurer

Designated Agent(s):

Steven Mele
611 Pennsylvania Ave SE, #143
Washington, DC 20003
Title: Assistant Treasurer

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Daniel Flores
Date Signed: 07/20/2017

(End FEC FORM 1)

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