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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1551374

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1. LAL4NY5

    P.O. BOX 300254
    JAMAICA, NY 11430
    Email: LAL4NY5@yahoo.com

2. Date: 12/10/2021

3. FEC Committee ID #: C00797100 This committee is a Principal Campaign Committee. Candidate: AMIT LAL
Party: Republican Party
Office Sought: House of Representatives
State is New York in District: 05

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Rawatee Lal
P.O. box 300254
JAMAICA, NY 11430
Title: Treasurer
Phone # (718) 795-8037

Treasurer:

Rawatee Lal
P.O. box 300254
JAMAICA, New York 11430
Phone # (718) 795-8037

Designated Agent(s):

Banks or Depositories

Flushing Bank
P.O box 9000
east meadow, New York 11554

Signed: Rawatee Lal
Date Signed: 12/11/2021

(End FEC FORM 1)

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