FEC Form 1 for Friends of Carl Achille for CongressForm 1 for Friends of Carl Achille for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1216693

1. Friends of Carl Achille for Congress

8 Catherine Court
elmont, NY 11003
Email: Achille.treasurer@gmail.com;info@achilleforcongress.com

2. Date: 02/14/2018

3. FEC Committee ID #: C00669952 This committee is a Principal Campaign Committee. Candidate: Carl H. Achille
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Monique Hardial
170 Fallon Avenue
Elmont, NY 11003
Title: Campaign Manager

Treasurer:

Samantha Chance
55 Queens Avenue
Elmont, New York 11003
Title: Treasurer

Designated Agent(s):

Monique Hardial
170 Fallon Avenue
Elmont, New York 11003

Banks or Depositories

Bethpage Federal Credit Union
1644 Dutch Broadway
Elmont, New York 11003

Signed: Samantha Chance
Date Signed: 04/03/2018

(End FEC FORM 1)

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