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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1318162

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1. Citizens for Sam Branscum

    365 Park St.
    Deerfield, MI 49238
    Email: sambranscum@gmail.com

2. Date: 03/04/2019

3. FEC Committee ID #: C00698274 This committee is a Principal Campaign Committee. Candidate: Samuel Ray Branscum
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 07

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Samuel Ray Branscum
365 Park St.
Deerfield, Michigan 49238
Phone # (567) 686-2149

Designated Agent(s):

Banks or Depositories

TLC Community Credit Union
3030 S. Adrian Hwy
Adrian, Michigan 49221

Signed: Samuel Ray Branscum
Date Signed: 03/04/2019

(End FEC FORM 1)

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