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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1229698

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1. Max Rose for Congress

    PO Box 100496
    Staten Island, NY 10310
    Email: janica@pcmsllc.com

2. Date: 05/08/2018

3. FEC Committee ID #: C00652248 This committee is a Principal Campaign Committee. Candidate: Max Rose
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 11

Affiliated Committees/Organizations

Committee ID# C00653295
Serve America Victory Fund
PO BOX 2013
Salem, Massachusetts 01970
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00664722
Better Days Fund
700 13th Street, NW
Suite 600
Washington, DC 20005
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00675306
Courage to Lead Fund
910 17th St NW Ste 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00672774
Serve NY
918 Pennsylvania Ave SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Janica Kyriacopoulos
PO Box 65322
Washington, DC 20035
Title: Treasurer
Phone # (202) 628-1580

Treasurer:

Janica Kyriacopoulos
PO Box 65322
Ste 590
Washington, DC 20035
Title: Treasurer
Phone # (202) 628-1580

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Janica Kyriacopoulos
Date Signed: 05/08/2018

(End FEC FORM 1)

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