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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1420041

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1. Waterfowl PAC - Federal

    1127 11th Street, Suite 210
    Sacramento, CA 95814

    NOTE: Address is different than previously reported

    Email: Laura@StephenCompany.com

2. Date: 07/07/2020

3. FEC Committee ID #: C00739755 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

California Waterfowl Association
1346 Blue Oaks Boulevard
Roseville, California 95678
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Laura Ann Stephen
1127 11th Street, Suite 210
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 706-2677

Treasurer:

Laura Ann Stephen
1127 11th Street, Suite 210
Sacramento, California 95814
Title: Treasurer
Phone # (916) 706-2677

Designated Agent(s):

Kimberly Urbano
1127 11th Street, Suite 210
Sacramento, California 95814
Title: Assistant Treasurer
Phone # (916) 706-2677

Mark M. Hennelly
1346 Bee Oaks Boulevard
Roseville, California 95678
Title: POF
Phone # (916) 648-1406

Banks or Depositories

Nano Banc
7700 Irvine Center Drive, #700
Irvine, California 92618

Signed: Laura Ann Stephen
Date Signed: 07/07/2020

FORM TEXT-1

(End FEC FORM 1)

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