FEC Form 1 for Jay Chen for CongressForm 1 for Jay Chen for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1196995

1. Jay Chen for Congress

2054 S. Hacienda Blvd
Unit 5421
Hacienda Heights, CA 91745
Email: jaychen@gmail.com

2. Date: 01/11/2018

3. FEC Committee ID #: C00665695 This committee is a Principal Campaign Committee. Candidate: Jay Chen
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 39

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Karen Chang
2054 S. Hacienda Blvd
Unit 5421
Hacienda Heights, CA 91745

Treasurer:

Karen Chang
2054 S. Hacienda Blvd
Unit 5421
Hacienda Heights, California 91745

Designated Agent(s):

Samuel Liu
2054 S. Hacienda Blvd
Unit 5421
Hacienda Heights, California 91745

Banks or Depositories

Citibank
17801 Colima Road
City of Industry, California 91745

Signed: Karen Chang
Date Signed: 01/11/2018
Official Committee URL: www.chenforcongress.com

(End FEC FORM 1)

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