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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1305804

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1. American Mosaic PAC

    918 Pennsylvania Ave SE
    Washington, DC 20003
    Email: bliss@capcompliance.com

2. Date: 01/21/2019

3. FEC Committee ID #: C00694471

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

Lauren Underwood
2758 US Highway 34
Suite B #149
Oswego, Illinois 60543
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Rebecca Bliss
918 Pennsylvania Ave SE
Washington, DC 20003
Title: Treasurer
Phone # (202) 544-6960

Treasurer:

Rebecca Bliss
918 Pennsylvania Ave SE
Washington, DC 20003
Title: Treasurer
Phone # (202) 544-6960

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Rebecca Bliss
Date Signed: 01/21/2019

(End FEC FORM 1)

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