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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1211945

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1. Bloom for Congress

    2100 Longs Gap Road
    Carlisle, PA 17013
    Email: bloomforcongress@gmail.com;wpecht@sasllp.com

2. Date: 08/09/2017

3. FEC Committee ID #: C00652735 This committee is a Principal Campaign Committee. Candidate: Stephen Bloom
Party: Republican Party
Office Sought: House of Representatives
State is Pennsylvania in District: 13

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Wayne M. Pecht
4431 North Front Street
Third Floor
Harrisburg, PA 17110
Title: Treasurer
Phone # (717) 802-0617

Treasurer:

Wayne M. Pecht
4431 North Front Street
Third Floor
Harrisburg, Pennsylvania 17110
Title: Treasurer
Phone # (717) 802-0617

Designated Agent(s):

Banks or Depositories

Orrstown Bank
3 Baden Powell Lane
#1
Mechanicsburg, Pennsylvania 17050

Signed: Wayne M. Pecht
Date Signed: 03/01/2018
Official Committee URL: BloomForCongress.com

(End FEC FORM 1)

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