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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1252237

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1. Forever Young PAC

    9460 Tegner Road
    Hilmar, CA 95324
    Email: kellylawler@thekalgroup.com

2. Date: 07/23/2018

3. FEC Committee ID #: C00683508

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Young Kim
9460 Tegner
Hilmar, California 95324
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Kelly Lawler
9460 Tegner
Hilmar, CA 95324
Title: Treasurer
Phone # (209) 656-1542

Treasurer:

Kelly Lawler
9460 Tegner
Hilmar, California 95324
Title: Treasurer
Phone # (209) 656-1542

Designated Agent(s):

Banks or Depositories

Tri Counties
210 N Tehama
Willows, California 95324

Signed: Kelly Lawler
Date Signed: 07/23/2018

(End FEC FORM 1)

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