FEC Form 1 for Committee to Elect Andy JacobsForm 1 for Committee to Elect Andy Jacobs

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1355164

1. Committee to Elect Andy Jacobs

1201 W 64th Street
Indianapolis, IN 46260
Email: imforandy2020@gmail.com

2. Date: 10/08/2019

3. FEC Committee ID #: C00714147 This committee is a Principal Campaign Committee. Candidate: Andrew James Jacobs, Jr.
Party: Democratic Party
Office Sought: House of Representatives
State is Indiana in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Eliot Blackburn
1515 Main Street
Apt 201
Speedway, IN 46224
Title: Treasurer
Phone # (765) 242-1060

Treasurer:

Eliot Blackburn
1515 Main Street
Apt 201
Speedway, Indiana 46224
Title: Treasurer
Phone # (765) 242-1060

Designated Agent(s):

Banks or Depositories

BMO Harris
714 Broad Ripple Avenue
Indianapolis, Indiana 46220

Signed: Eliot Blackburn
Date Signed: 10/08/2019
Official Committee URL: N/A

(End FEC FORM 1)

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