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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1361573

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1. Tom Lewellen for Congress

    20701 N. Scottsdale
    Suite 405
    Scottsdale, AZ 85255
    Email: tom@civilgovernance.org

2. Date: 11/03/2019

3. FEC Committee ID #: C00725614 This committee is a Principal Campaign Committee. Candidate: Mr. Tom Lewellen
Party: W
Office Sought: House of Representatives
State is Arizona in District: 06

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Tom Lewellen
7288 E. Sand Hills
Scottsdale, AZ 85255
Title: Treasury
Phone # (602) 550-3745

Treasurer:

Mr. Tom Lewellen
7288 E. Sand Hills
Scottsdale, Arizona 85255
Title: Treasury
Phone # (602) 550-3745

Designated Agent(s):

Banks or Depositories

Chase Bank
20871 N Scottsdale Rd,
Scottsdaale, Arizona 85255

Signed: Mr. Tom Lewellen
Date Signed: 11/03/2019
Official Committee URL: www.tomlewellenforcongress.com

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