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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1621581

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1. Ruiz4Congress

    5117 Walsh Ave
    East Chicago, IN 46312
    Email: Ruiz4Congress@gmail.com;davidben.ruiz@tutanota.com

2. Date: 01/11/2022

3. FEC Committee ID #: C00798785 This committee is a Principal Campaign Committee. Candidate: David Ben Ruiz
Party: Republican Party
Office Sought: House of Representatives
State is Indiana in District: 01

Affiliated Committees/Organizations

Committee ID# C00798785
RUIZ4CONGRESS
5117 WALSH AVE
EAST CHICAGO, Indiana 46312
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Ben Ruiz
5117 Walsh Ave
East Chicago, IN 46312
Title: Candidate
Phone # (317) 775-9507

Treasurer:

David Ben Ruiz
5117 Walsh Ave
East Chicago, Indiana 46312
Phone # (317) 775-9507

Designated Agent(s):

David Ben Ruiz
5117 Walsh Ave
East Chicago, Indiana 46312
Title: HRCC
Phone # (317) 775-9507

Banks or Depositories

First Merchants Bank
1725 45th St
Munster, Indiana 46321

Signed: David Ben Ruiz
Date Signed: 08/05/2022

(End FEC FORM 1)

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