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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1216195

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1. Mark Green for Congress

    346 Warfield Blvd
    Suite A
    Clarksville, TN 37043
    Email: mark@markgreen4tn.com;reid@rachelbarrettco.com

2. Date: 10/18/2017

3. FEC Committee ID #: C00658385 This committee is a Principal Campaign Committee. Candidate: Dr. Mark Green
Party: Republican Party
Office Sought: House of Representatives
State is Tennessee in District: 07

Affiliated Committees/Organizations

Committee ID# C00673962
FreedomWorks Victory 2018
PO Box 26141
Alexandria, Virginia 22313
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Reid Witcher
PO Box 331983
Nashville, TN 37203
Title: Secretary
Phone # (423) 956-0371

Treasurer:

Doug Grindstaff
6210 Belle Rive Dr
Brentwood, Tennessee 37027
Title: Treasurer

Designated Agent(s):

Rachel Barrett
PO Box 331983
Nashville, Tennessee 37203
Title: Finance Director

Banks or Depositories

Pinnacle Financial Partners
150 3rd Avenue South
Suite 900
Nashville, Tennessee 37201

EagleBank
2001 K St NW

Washington, DC 20006

Signed: Doug Grindstaff
Date Signed: 03/29/2018
Official Committee URL: markgreen4tn.com

(End FEC FORM 1)

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