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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1365221

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1. Grassroots Victory

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

2. Date: 12/04/2019

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

NONE
, ____

Custodian of Records:

Dan Backer
441 N Lee St., Ste 300
Alexandria, VA 22314
Title: Treasurer
Phone # (202) 210-5431

Treasurer:

Dan Backer
441 N Lee St., Ste 300
Alexandria, Virginia 22314
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Caitlin Contestable
441 N Lee St
Ste 300
Alexandria, Virginia 22314
Title: Assistant Treasurer

Banks or Depositories

Capital Bank NA
10700 Parkridge Blvd
Ste 180
Reston, Virginia 20190

Signed: Dan Backer
Date Signed: 12/04/2019

FORM TEXT-1

(End FEC FORM 1)

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