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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1332686

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1. Grassroots Victory

    441 North Lee Street, Suite 100
    Alexandria, VA 22314
    Email: notices@feccr.com

2. Date: 05/31/2019

3. FEC Committee ID #: C00674572

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Grassroots Victory
441 NORTH LEE STREET, SUITE 100
Alexandria, Virginia 22314
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Dan Backer
441 NORTH LEE STREET, SUITE 100
Alexandria, VA 22314
Title: Treasurer
Phone # (202) 210-5431

Treasurer:

Dan Backer
441 NORTH LEE STREET, SUITE 100
Alexandria, Virginia 22314
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Stephanie Ford
950 N Washington Street
Suite 105
Alexandria, Virginia 22314
Title: Assistant Treasurer

Banks or Depositories

Atlantic Union Bank
4221 Walney Rd
Ste 120
Chantilly, Virginia 20151

Signed: Dan Backer
Date Signed: 05/31/2019

FORM TEXT-1

(End FEC FORM 1)

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