FEC Form 1 for LEWIS ELBINGER FOR CONGRESSForm 1 for LEWIS ELBINGER FOR CONGRESS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1196062

1. LEWIS ELBINGER FOR CONGRESS

107 E. ALMA ST
MOUNT SHASTA, CA 96067
Email: lewis4congressCD1@gmail.com;eastwest_unity@yahoo.com

2. Date: 01/03/2018

3. FEC Committee ID #: C00664912 This committee is a Principal Campaign Committee. Candidate: Mr. Lewis Keith Elbinger
Party: Green Party
Office Sought: House of Representatives
State is California in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Ms. Sophie Diamond-Kuzminski
308 E IVY STREET
Mount Shasta, CA 96067
Title: Treasurer
Phone # (586) 722-4911

Treasurer:

Ms. Sophie Diamond-Kuzminski
308 E IVY STREET
Mount Shasta, California 96067
Title: Treasurer
Phone # (586) 722-4911

Designated Agent(s):

Mr. Lewis Keith Elbinger
185 Shasta Avenue
Mount Shasta, California 96067
Title: Designated Agent
Phone # (248) 224-9905

Banks or Depositories

Tri Counties Bank
204 Chestnut Street
Mount Shasta, California 96067

Signed: Ms. Sophie Diamond-Kuzminski
Date Signed: 01/05/2018

(End FEC FORM 1)

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