FEC Form 1 for Jake Auchincloss for CongressForm 1 for Jake Auchincloss for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1626931

1. Jake Auchincloss for Congress

P.O. BOX 600698
Newtonville, MA 02460
Email: jay@bluewavepolitics.com

2. Date: 08/23/2022

3. FEC Committee ID #: C00721449 This committee is a Principal Campaign Committee. Candidate: Jake Auchincloss
Party: Democratic Party
Office Sought: House of Representatives
State is Massachusetts in District: 04

Affiliated Committees/Organizations

Committee ID# C00782003
Democratic Leadership 2022
PO Box 33079
Washington, DC 20033
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00806620
Jake Auchincloss Victory Fund
One Park Row 5th fl
Providence, Rhode Island 02903
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00805556
Serve America Victory Fund
PO Box 2013
Salem, Massachusetts 01970
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jay Petterson
122 C Street NW
Suite 360
Washington, DC 20001
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
122 C Street NW
Suite 360
Washington, DC 20001
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Banks or Depositories

Bank of America
201 Pennsylvania Ave, SE
Washington, DC 20003

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Janney Montgomery Scott LLC
1166 Avenue of the Americas
21st Floor
New York, New York 10036

Signed: Jay Petterson
Date Signed: 08/23/2022
Official Committee URL: https://www.jakeforma.com/

(End FEC FORM 1)

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