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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1387468

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1. Andy Levin for Congress

    PO Box 380381
    Clinton Township, MI 48038
    Email: janica@pcmsllc.com

2. Date: 03/02/2020

3. FEC Committee ID #: C00662619 This committee is a Principal Campaign Committee. Candidate: Andy Levin
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 09

Affiliated Committees/Organizations

Committee ID# C00734970
ANDY LEVIN VICTORY FUND
910 17th St NW
Ste 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Janica Kyriacopoulos
PO Box 65322
Washington, DC 20035
Title: Asst. Treasurer
Phone # (202) 628-1580

Treasurer:

Ken DeBeaussaert
PO Box 380381
Clinton Township, Michigan 48038
Title: Treasurer
Phone # (202) 628-1580

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Ken DeBeaussaert
Date Signed: 03/02/2020

(End FEC FORM 1)

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