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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1192024

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1. Sam Deen for Congress

    988 Old Kaufman Rd
    Canton, TX 75103
    Email: samdeentx@gmail.com;tpruitt2002@yahoo.com

2. Date: 11/20/2017

3. FEC Committee ID #: C00661181 This committee is a Principal Campaign Committee. Candidate: Sam Alan Deen
Party: Republican Party
Office Sought: House of Representatives
State is Texas in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Teri Lynn Pruitt
622 Sides Circle
Canton, TX 75103
Title: Treasurer
Phone # (903) 340-5186

Treasurer:

Teri Lynn Pruitt
622 Sides Circle
Canton, Texas 75103
Title: Treasurer
Phone # (903) 340-5186

Designated Agent(s):

Ashley Nicole Deen
106 Rolling Hills Dr
Canton, Texas 75103
Title: Designated Agent
Phone # (214) 957-3623

Banks or Depositories

City National Bank
875 W. Dallas St
Canton, Texas 75103

Signed: Teri Lynn Pruitt
Date Signed: 11/20/2017
Official Committee URL: www.samdeen.com

(End FEC FORM 1)

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