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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1553102

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1. Max Rose for Congress

    1015 Castleton Ave
    PO Box 359
    Staten Island, NY 10310
    Email: maxrose@mbacg.com

2. Date: 12/21/2021

3. FEC Committee ID #: C00796540 This committee is a Principal Campaign Committee. Candidate: Max Rose
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 11

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Christopher Koob
611 Pennsylvania Ave SE
Ste 143
Washington, DC 20003
Title: Assistant Treasurer

Treasurer:

John Elefterakis
1015 Castleton Ave
PO Box 359
Staten Island, New York 10310
Title: Treasurer

Designated Agent(s):

Christopher Koob
611 Pennsylvania Ave SE
Ste 143
Washington, DC 20003
Title: Assistant Treasurer

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: John Elefterakis
Date Signed: 12/21/2021
Official Committee URL: maxroseforcongress.com

(End FEC FORM 1)

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