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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1199425

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1. Gupta for Congress

    PO Box 530955
    Livonia, MI 48153
    Email: compliance@suneelgupta.com;fec@cfoconsults.com

    NOTE: Email address is different than previously reported

2. Date: 01/23/2018

3. FEC Committee ID #: C00662213 This committee is a Principal Campaign Committee. Candidate: Suneel Gupta
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 11

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Dale A. Jurcisin
39733 Eagle Trace Dr.
Northville, MI 48168
Title: Treasurer

Treasurer:

Dale A. Jurcisin
39733 Eagle Trace Dr.
Northville, Michigan 48168
Title: Treasurer

Designated Agent(s):

Karla Swift
19708 Fitzgerald St
Livonia, Michigan 48152
Title: Campaign Co-Chair

Banks or Depositories

Chemical Bank
17900 Haggerty Road
Livonia, Michigan 48152

Signed: Dale A. Jurcisin
Date Signed: 01/23/2018
Official Committee URL: suneelgupta.com

(End FEC FORM 1)

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