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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1265092

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1. US Citizens PAC

    2 Civic Center Drive
    #4338
    San Rafael, CA 949135703
    Email: tom@politicalvisions.com

2. Date: 10/03/2018

3. FEC Committee ID #: C00688820

This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Thomas E Montgomery, III
1912 Grand Ave
San Rafael, CA 94901
Title: Treasurer
Phone # (415) 250-4036

Treasurer:

Thomas E Montgomery, III
1912 Grand Ave
San Rafael, California 94901
Title: Treasurer
Phone # (415) 250-4036

Designated Agent(s):

Thomas E Montgomery, III
1912 Grand Ave
San rafael, California 94901
Title: Treasurer
Phone # (415) 250-4036

Banks or Depositories

Chase Bank
437 Corte Madera Town Center
Corte Madera, California 94925

Signed: Thomas E Montgomery, III
Date Signed: 10/03/2018

FORM TEXT-1

(End FEC FORM 1)

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