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FEC Form 1 for MassMEDIC Good Government FundForm 1 for MassMEDIC Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1498742


1. MassMEDIC Good Government Fund

    P O Box 177
    Brookline, MA 02446
    Email: brian@massmedic.com;info@massmedic.com

2. Date: 02/05/2021

3. FEC Committee ID #: C00768531 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

MassMEDIC
P O Box 177
Brookline, Massachusetts 02446
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Brian Johnson
P O Box 177
Brookline, MA 02446
Title: Treasurer
Phone # (617) 358-7819

Treasurer:

Mr. Brian Johnson
P O Box 177
Brookline, Massachusetts 02446
Title: Treasurer
Phone # (617) 358-7819

Designated Agent(s):

Banks or Depositories

Bank of America
1309 Beacon Street
Brookline, Massachusetts 02446

Signed: Mr. Brian Johnson
Date Signed: 02/05/2021

(End FEC FORM 1)


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