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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1240639

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1. Declare Your Independence

    312 SW Greenwich Drive #340
    Lee's Summit, MO 64082
    Email: matt@sycamorelane.co;sowens@seowenscompany.com

2. Date: 06/25/2018

3. FEC Committee ID #: C00681528

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Stacy Owens
5940 College Avenue, Suite F
Oakland, CA 94618
Title: Assistant Treasurer
Phone # (510) 423-4300

Treasurer:

Matthew McConn
312 SW Greenwich Drive #340
Lee's Summit, Missouri 64082
Title: Treasurer
Phone # (352) 256-6953

Designated Agent(s):

Stacy Owens
5940 College Avenue, Suite F
Oakland, California 94618
Title: Assistant Treasurer
Phone # (510) 423-4300

Banks or Depositories

First Republic Bank
2110 Mountain Boulevard
Oakland, California 94611

Signed: Matthew McConn
Date Signed: 06/25/2018

FORM TEXT-1

(End FEC FORM 1)

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