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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1692135

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1. Jersey Values PAC

    611 Pennsylvania Avenue SE
    Suite 143
    Washington, DC 20003

    NOTE: Address is different than previously reported

    Email: gottheimer@mbacg.com;ldecot@mbacg.com

    NOTE: Email address is different than previously reported

2. Date: 03/07/2023

3. FEC Committee ID #: C00652164

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H6NJ0517
Josh Gottheimer
PO Box 584
Ridgewood, New Jersey 07451
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Lauren Decot Lee
611 Pennsylvania Avenue SE
Suite 143
Washington, DC 20003
Title: Assistant Treasurer

Treasurer:

Batya Klein
611 Pennsylvania Avenue SE
Suite 143
Washington, DC 20003
Title: Treasurer

Designated Agent(s):

Lauren Decot Lee
611 Pennsylvania Avenue SE
Suite 143
Washington, DC 20003
Title: Assistant Treasurer

Banks or Depositories

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Signed: Batya Klein
Date Signed: 03/07/2023

(End FEC FORM 1)

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