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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1580719

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1. Jay Chen for Congress

    3201 Yorba Linda Blvd
    #139
    Fullerton, CA 92831
    Email: jaychen@gmail.com;kburnsedel@gmail.com

2. Date: 04/12/2022

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: 45

Affiliated Committees/Organizations

Committee ID# C00811661
Quartey Gordon Chen Fund
PO Box 801177
Santa Clarita, California 91380
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Kendra Burns-Edel
219 S Avenue 58
Los Angeles, CA 90042
Title: Treasurer
Phone # (530) 598-2845

Treasurer:

Kendra Burns-Edel
219 S Avenue 58
Los Angeles, California 90042
Title: Treasurer
Phone # (530) 598-2845

Designated Agent(s):

Banks or Depositories

Citibank
17801 Colima Road
City of Industry, California 91745

Amalgamated Bank
275 Seventh Ave
New York, New York 10001

Signed: Kendra Burns-Edel
Date Signed: 04/12/2022
Official Committee URL: www.chenforcongress.com

(End FEC FORM 1)

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