FEC Form 1 for Committee to Elect Jay CareyForm 1 for Committee to Elect Jay Carey

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1566570

1. Committee to Elect Jay Carey

PO Box 404
Horse Shoe, NC 28742
Email: jaycareyforcongress@gmail.com

2. Date: 10/01/2021

3. FEC Committee ID #: C00776567 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate: Jan Carey
Party: Democratic Party
Office Sought: House of Representatives
State is North Carolina in District: 14

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jay Carey
PO Box 404
Horse Shoe, NC 28742
Title: Record Keeper

Treasurer:

Jay Carey
PO Box 404
Horse Shoe, North Carolina 28742
Title: Treasurer

Designated Agent(s):

Banks or Depositories

United Community Bank
50 United Bank Drive
Etowah, North Carolina 28729

Signed: Jay Carey
Date Signed: 01/31/2022
Official Committee URL: www.JayCareyforCongress.com

(End FEC FORM 1)

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