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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1732088

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1. Clean Slate America 2024

    146 N Springs Ct
    Macon, GA 31210
    Email: cleanslateamerica2024@gmail.com

2. Date: 10/17/2023

3. FEC Committee ID #: C00853762

This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jayson T Stonne
146 N Springs Ct
Macon, GA 31210
Title: Treasurer
Phone # (478) 714-2000

Treasurer:

Jayson T Stonne
146 N Springs Ct
Macon, Georgia 31210
Title: Treasurer
Phone # (478) 714-2000

Designated Agent(s):

Banks or Depositories

Truist
5928 Zebulon Rd
Macon, Georgia 31210

Signed: Jayson T Stonne
Date Signed: 10/17/2023

(End FEC FORM 1)

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