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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1696479

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1. Yassamin Ansari for Congress

    P.O. Box 13524
    Phoenix, AZ 85002

    NOTE: Address is different than previously reported

    Email: compliance@bluewavepolitics.com

2. Date: 04/07/2023

3. FEC Committee ID #: C00836767 This committee is a Principal Campaign Committee. Candidate: Yassamin Ansari
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Josie Olsen
401 2nd Ave S
Ste 303
Seattle, WA 98104
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Josie Olsen
401 2nd Ave S
Ste 303
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Josie Olsen
Date Signed: 04/07/2023
Official Committee URL: www.yassaminforcongress.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

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