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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1719527

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1. Web3 Forward

    1615 L Street, NW
    Suite 400
    Washington, DC 20036

    NOTE: Address is different than previously reported

    Email: psherman@ddcpublicaffairs.com;info@web3forward.com

2. Date: 07/31/2023

3. FEC Committee ID #: C00804187

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

NONE
, ____

GMI PAC, Inc.
1615 L Street, NW
Suite 400
Washington, DC 20036
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Peter Sherman
1615 L Street, NW
Suite 400
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 830-2106

Treasurer:

Michael Carcaise
2595 Canyon Blvd, Ste 210
Suite 210
Boulder, Colorado 80302
Title: Treasurer
Phone # (303) 900-3194

Designated Agent(s):

Peter Sherman
1615 L Street, NW
Suite 400
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 830-2106

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Michael Carcaise
Date Signed: 07/31/2023
Official Committee URL: www.web3forward.com

(End FEC FORM 1)

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