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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1321140

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1. Donna Shalala for Congress

    PO Box 330602
    Miami, FL 33233
    Email: mbrengarth@mbacg.com;ldecot@mbacg.com

2. Date: 03/25/2019

3. FEC Committee ID #: C00672311 This committee is a Principal Campaign Committee. Candidate: Donna Shalala
Party: Democratic Party
Office Sought: House of Representatives
State is Florida in District: 27

Affiliated Committees/Organizations

Committee ID# C00675488
House Victory Project
918 Pennsylvania Ave SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00688291
Donna Shalala Victory Fund
611 Pennsylvania Ave SE
Num 143
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Megan Brengarth
PO Box 330602
Miami, FL 33233
Title: Asst Treasurer

Treasurer:

Mark Diaz
PO Box 330602
Miami, Florida 33233
Title: Treasurer

Designated Agent(s):

Megan Brengarth
PO Box 330602
Miami, Florida 33233
Title: Asst Treasurer

Banks or Depositories

Amalgamated Bank
1825 K Street, NW
Washington, DC 20006

Signed: Mark Diaz
Date Signed: 03/25/2019
Official Committee URL: donnashalala.com

(End FEC FORM 1)

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