FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1389527
1. American Mosaic PAC
918 Pennsylvania Ave SEWashington, DC 20003
Email: bliss@capcompliance.com
2. Date: 03/04/2020
3. FEC Committee ID #: C00694471This 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
Candidate ID# H8IL14174
Lauren Underwood
13400 S Route 59
Ste 116 Box 248
Plainfield, Illinois 60585
Affiliated Relationship Code: Leadership PAC Sponsor
Committee ID# C00688168
Lauren Underwood Victory Fund
918 Pennsylvania Ave SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative
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 20003
Signed: Rebecca Bliss
Date Signed: 03/13/2020
(End FEC FORM 1)
Date Signed: 03/13/2020