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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1554345

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1. Jeff Gorman For Congress

    4340 Redwood Highway
    F119
    San Rafael, CA 94903
    Email: tom@politicalcommunicationsinc.com

2. Date: 01/05/2022

3. FEC Committee ID #: C00722363 This committee is a Principal Campaign Committee. Candidate: Jeff Gorman
Party: Republican Party
Office Sought: House of Representatives
State is California in District: 19

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Thomas Montgomery
4340 Redwood Highway
F119
San Rafael, CA 94903
Title: Record Keeper
Phone # (415) 250-4036

Treasurer:

Thomas Montgomery
4340 Redwood Highway
F119
San Rafael, California 94903
Title: Treasurer
Phone # (415) 250-4036

Designated Agent(s):

Banks or Depositories

U.S. Bank
305 San Anselmo Avenue
San Anselmo, California 94960

Signed: Thomas Montgomery
Date Signed: 01/05/2022

(End FEC FORM 1)

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