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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1659418

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1. Committee to Elect Dan Forest

    3103 Julian Glen Cir
    Waxhaw, NC 28173
    Email: jinkelley@yahoo.com

2. Date: 03/16/2022

3. FEC Committee ID #: C00827956

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:

Jinger Kelley
3103 Julian Glen Cir
Waxhaw, NC 28173
Title: Treasurer
Phone # (828) 776-2774

Treasurer:

Jinger Kelley
3103 Julian Glen Cir
Waxhaw, North Carolina 28173
Phone # (828) 776-2774

Designated Agent(s):

Banks or Depositories

First Citizens Bank
15010 John J Delaney Dr
Charlotte, North Carolina 28277

Signed: Jinger Kelley
Date Signed: 11/04/2022

FORM TEXT-1

(End FEC FORM 1)

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