FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1333300
1. Paid Family Leave PAC
64 Cumberland StSan Francisco, CA 94110
Email: paidfamilyleavepac@gmail.com;adam@stalecoffee.org
2. Date: 06/06/2019
3. FEC Committee ID #: C00708594This 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:
Adam Jacob
64 Cumberland St
San Francisco, CA 94110
Phone # (206) 619-7151
Treasurer:
Adam Jacob
64 Cumberland St
San Francisco, California 94110
Phone # (206) 619-7151
Designated Agent(s):
Banks or Depositories
Amalgamated Bank
255 California Street Ste 600
San Francisco, California 94111
Signed: Adam Jacob
Date Signed: 06/06/2019
(End FEC FORM 1)
Date Signed: 06/06/2019