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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1577656

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1. Ivy4Ga Inc

    1424 Veranda Chase Dr
    Lawrenceville, GA 30044
    Email: ivyforga@gmail.com;sivy4ga@gmail.com

2. Date: 01/22/2022

3. FEC Committee ID #: C00811430 This committee is a Principal Campaign Committee. Candidate: Mrs Surrea Ivy
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 04

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr Elan Ivy
1424 Veranda Chase Dr
Lawrenceville, GA 30044
Title: Treasurer
Phone # (404) 913-7175

Treasurer:

Mr Elan Ivy
1424 Veranda Chase Dr
Lawrenceville, Georgia 30044
Title: Treasurer
Phone # (404) 913-7175

Designated Agent(s):

Mrs Surrea Ivy
1424 Veranda Chase Dr
Lawrenceville, Georgia 30044
Title: Assistant
Phone # (404) 913-7175

Banks or Depositories

Regions Bank
5952 States Bridge Rd
Johns Creek, Georgia 30097

PayPal
2211 N 1st St
San Jose, California 95131

Signed: Mr Elan Ivy
Date Signed: 04/04/2022
Official Committee URL: www.ivy4ga.com

(End FEC FORM 1)

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