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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1497774

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1. Take Back The West PAC

    7955 W Badura Ave Apt 142
    Las Vegas, NV 98113
    Email: info@takebackthewest.com;rob@takebackthewest.com

    NOTE: Email address is different than previously reported

2. Date: 11/14/2019

3. FEC Committee ID #: C00727230

This 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:

Rob Burgess
7975 W Badura Ave Suite 1000
Las Vegas, NV 98113
Title: Executive Director
Phone # (317) 371-4743

Treasurer:

Rob Burgess
7975 W Badura Ave Suite 1000
Las Vegas, Nevada 98113
Title: Executive Director
Phone # (317) 371-4743

Designated Agent(s):

Banks or Depositories

Nevada State Bank
PO Box 990
Las Vegas, Nevada 89125

Signed: Rob Burgess
Date Signed: 02/01/2021
Official Committee URL: takebackthewest.com

(End FEC FORM 1)

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