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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1485125

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1. Policy is Personal PAC

    499 South Capitol St SW
    Suite 407
    Washington, DC 20003
    Email: sue@bluewavepolitics.com;shayne@bluewavepolitics.com

2. Date: 01/03/2021

3. FEC Committee ID #: C00765537

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H0NY17174
MONDAIRE JONES
499 S. CAPITOL ST. SW
SUITE 407
WASHINGTON, DC 20003
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Sue Jackson
499 South Capitol St SW
Suite 407
Washington, DC 20003
Title: Treasurer
Phone # (919) 592-9826

Treasurer:

Sue Jackson
499 South Capitol St SW
Suite 407
Washington, DC 20003
Title: Treasurer
Phone # (919) 592-9826

Designated Agent(s):

Shayne Thoman
499 South Capitol St SW
Suite 407
Washington, DC 20003
Title: Assistant Treasurer
Phone # (919) 592-9826

Banks or Depositories

Bank of America
201 Pennsylvania Ave SE
Washington, DC 20003

Signed: Sue Jackson
Date Signed: 01/03/2021

(End FEC FORM 1)

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