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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1254354

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1. Cuomo NY Take Back the House

    1 Palliser Road
    Irvington, NY 10533
    Email: cherylacmeredith@gmail.com

2. Date: 08/03/2018

3. FEC Committee ID #: C00684357

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:

Richard J. Sirota
1 Palliser Road
Irvington, NY 10533
Title: Treasurer

Treasurer:

Richard J. Sirota
1 Palliser Road
Irvington, New York 10533
Title: Treasurer

Designated Agent(s):

Cheryl Ann Meredith
44 Montebello Commons Drive
Suffern, New York 10901
Title: Assistant Treasurer

Banks or Depositories

Signature Bank
565 Fifth Avenue
12th Floor
New York, New York 10017

Signed: Richard J. Sirota
Date Signed: 08/03/2018

(End FEC FORM 1)

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