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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1349668

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1. Taking Back Congress

    22834 Arbor View Dr.
    Brambleton, VA 20148

    NOTE: Address is different than previously reported

    Email: clay1chase@aol.com

    NOTE: Email address is different than previously reported

2. Date: 08/24/2019

3. FEC Committee ID #: C00700492

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:

Mr. Clayton Tucker Chase
22834 Arbor View Dr.
Brambleton, VA 20148
Phone # (703) 862-3225

Treasurer:

Mr. Clayton Tucker Chase
22834 Arbor View Dr.
Brambleton, Virginia 20148
Phone # (703) 862-3225

Designated Agent(s):

Banks or Depositories

United Bank
10641 Fairfax Blvd
Fairfax, Virginia 22030

Signed: Mr. Clayton Tucker Chase
Date Signed: 08/24/2019

(End FEC FORM 1)

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