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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1551422

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1. Lafazan for Congress

    PO Box 751
    Woodbury, NY 11797
    Email: admin@evanskatz.com

2. Date: 12/13/2021

3. FEC Committee ID #: C00797241 This committee is a Principal Campaign Committee. Candidate: Joshua Lafazan
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Alex Leibson
3 Dakota Drive
Suite 300
Lake Success, NY 11042
Title: Treasurer
Phone # (516) 328-2300

Treasurer:

Alex Leibson
3 Dakota Drive
Suite 300
Lake Success, New York 11042
Title: Treasurer
Phone # (516) 328-2300

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K Street, NW
Washington, DC 20006

Signed: Alex Leibson
Date Signed: 12/13/2021

(End FEC FORM 1)

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