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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1537157

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1. Clay Wagner for Congress

    PO Box 70
    Kiln, MS 39556
    Email: troy@politicalfinancialmanagement.com

2. Date: 09/07/2021

3. FEC Committee ID #: C00788794 This committee is a Principal Campaign Committee. Candidate: Clay Wagner
Party: Republican Party
Office Sought: House of Representatives
State is Mississippi in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

James Troy Brewer
95 White Bridge Rd
Suite 207
Nashville, TN 37205
Title: Treasurer
Phone # (615) 668-5659

Treasurer:

James Troy Brewer
95 White Bridge Rd
Suite 207
Nashville, Tennessee 37205
Title: Treasurer
Phone # (615) 668-5659

Designated Agent(s):

James Troy Brewer
95 White Bridge Rd
Suite 207
Nashville, Tennessee 37205
Title: Treasurer
Phone # (615) 668-5659

Banks or Depositories

Hancock Whitney Bank
16230 Hwy. 603
Suite A
Kiln, Mississippi 39556

Signed: James Troy Brewer
Date Signed: 09/07/2021
Official Committee URL: www.Claywagner.ms

(End FEC FORM 1)

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