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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1594958

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1. PATRIOTS PAC LLC

    2275 MARIETTA BLVD
    SUITE 270-312
    ATLANTA, GA 30318
    Email: Treasurer@takebackga.com;Admin@takebackga.com

2. Date: 02/28/2022

3. FEC Committee ID #: C00807958

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

MELVIN JOHNSON, JOHNSON
2275 MARIETTA BLVD
SUITE 270-312
ATLANTA, GA 30318
Title: TREASURER
Phone # (770) 486-3295

Treasurer:

MELVIN JOHNSON, JOHNSON
2275 MARIETTA BLVD
SUITE 270-312
ATLANTA, Georgia 30318
Phone # (770) 486-3295

Designated Agent(s):

MELVIN JOHNSON, 30318
2275 MARIETTA BLVD
SUITE 270-312
ATLANTA, Georgia 30318
Title: Treasurer
Phone # (770) 486-3295

Banks or Depositories

JP MORGAN CHASE BANK
5768 BUFORD HWY NE
DORAVILLE, Georgia 30340

Signed: MELVIN JOHNSON, JOHNSON
Date Signed: 05/17/2022

FORM TEXT-1

(End FEC FORM 1)

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