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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1412293

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1. Shane Bolling Campaign

    1160 Forest St
    Denver, CO 80220
    Email: shanebolling37@gmail.com

2. Date: 06/16/2020

3. FEC Committee ID #: C00748848 This committee is a Principal Campaign Committee. Candidate: Shane Bolling
Party: Republican Party
Office Sought: House of Representatives
State is Colorado in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Marjorie Ann Klein
870 S Fulton Ave
Fort Lupton, CO 80621
Title: Treasurer
Phone # (303) 246-2716

Treasurer:

Marjorie Ann Klein
870 S Fulton Ave
Fort Lupton, Colorado 80621
Title: Treasurer
Phone # (303) 246-2716

Designated Agent(s):

Banks or Depositories

Wells Fargo
1740 Broadway
Denver, Colorado 80274

Signed: Marjorie Ann Klein
Date Signed: 06/17/2020

(End FEC FORM 1)

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