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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1577894

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1. Karen Green for Florida

    1595 Palm Bay #1050
    Palm Bay, FL 32905
    Email: jef@c-esystems.com;karengreenforflorida@gmail.com

2. Date: 04/04/2022

3. FEC Committee ID #: C00811539 This committee is a Principal Campaign Committee. Candidate: Rev. Dr. Karen Green
Party: Democratic Party
Office Sought: House of Representatives
State is Florida in District: 08

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jef Green
P.O. Box 42307
Portland, OR 972420307
Title: Treasurer
Phone # (503) 295-1851

Treasurer:

Jef Green
P.O. Box 42307
Portland, Oregon 972420307
Title: Treasurer
Phone # (503) 295-1851

Designated Agent(s):

Banks or Depositories

Columbia Bank
473 NW Burnside Rd
Gresham, Oregon 97030

Signed: Jef Green
Date Signed: 04/04/2022
Official Committee URL: karengreenforflorida.com

(End FEC FORM 1)

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