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FEC Form 1 for JacksonForCongress503Form 1 for JacksonForCongress503

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1537338


1. JacksonForCongress503

    2723 N. Kerby Ave
    Ste B
    Portland, OR 97227
    Email: derry@jacksonforcongress503.com;jacksonforcongress503@gmail.com

2. Date: 09/08/2021

3. FEC Committee ID #: C00788919 This committee is a Principal Campaign Committee. Candidate: Mr Derry Al Jackson, Sr
Party: Democratic Party
Office Sought: House of Representatives
State is Oregon in District: 06

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Derry Jackson
2723 N. Kerby Ave
Suite B
Portland, OR 97227
Title: Candidate
Phone # (682) 270-1388

Treasurer:

Derry Jackson
2723 N. Kerby Ave
Suite B
Portland, Oregon 97227
Phone # (682) 270-1388

Designated Agent(s):

Banks or Depositories

Wells fargo
1405 Llyod Center
Portland, Oregon 97232

Signed: Derry Jackson
Date Signed: 09/08/2021
Official Committee URL: jacksonforcongress503.com

(End FEC FORM 1)


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