FEC Form 1 for Shane Hazel for CongressForm 1 for Shane Hazel for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1178996

1. Shane Hazel for Congress

2300 Bethelview Rd
#110-183
Cumming, GA 30040
Email: shane@shanehazel.com;notices@feccr.com

2. Date: 08/14/2017

3. FEC Committee ID #: C00653089 This committee is a Principal Campaign Committee. Candidate: Shane Hazel
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 07

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Scottie Biggs
3608 Old Town Lane
Cumming, GA 30040
Title: Treasurer
Phone # (678) 571-8737

Treasurer:

Scottie Biggs
3608 Old Town Lane
Cumming, Georgia 30040
Title: Treasurer
Phone # (678) 571-8737

Designated Agent(s):

Petra Mangini
203 South Union Street
Suite 300
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (202) 930-2783

Banks or Depositories

Citizens Bank of Forsyth County
651 Veterans Memorial Blvd.
Cumming, Georgia 30040

Access National Bank
4221 Walney Rd
Chantilly, Virginia 20151

Signed: Scottie Biggs
Date Signed: 08/14/2017
Official Committee URL: www.shanehazel.com

(End FEC FORM 1)

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