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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1695498

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1. Amish for Arizona

    2944 N Manor Dr E
    Phoenix, AZ 85014
    Email: AmishForArizona@gmail.com;democracy.heather@gmail.com

2. Date: 04/01/2023

3. FEC Committee ID #: C00836502 This committee is a Principal Campaign Committee. Candidate: Dr. Amish Shah
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 01

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Heather Mrowiec
1729 N 75th St
Scottsdale, AZ 85257
Title: Treasurer
Phone # (480) 313-6802

Treasurer:

Heather Mrowiec
1729 N 75th St
Scottsdale, Arizona 85257
Title: Treasurer
Phone # (480) 313-6802

Designated Agent(s):

Banks or Depositories

PNC Bank
3003 N Central Ave
Suite 100
Phoenix, Arizona 85012

Signed: Heather Mrowiec
Date Signed: 04/01/2023
Official Committee URL: amishforarizona.com

(End FEC FORM 1)

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