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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1735652

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1. Jack For Congress

    100 Market Street
    Unit 404
    Chattanooga, TN 37402
    Email: jack@jackallenforcongress.com;matt@jackallenforcongress.com

2. Date: 11/16/2023

3. FEC Committee ID #: C00856971 This committee is a Principal Campaign Committee. Candidate: Mr Jack Burks Allen, Jr
Party: Democratic Party
Office Sought: House of Representatives
State is Tennessee in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr Matthew Darrell Adams
217 Delano Road
Delano, TN 37325
Title: Campaign Manager
Phone # (423) 715-7006

Treasurer:

Mr Christopher Shawn McKeehan
P O Box 882
Athens, Tennessee 37371
Title: Treasurer
Phone # (629) 215-0489

Designated Agent(s):

Banks or Depositories

Smart Bank
835 Georgia Avenue
Chattanooga, Tennessee 37402

Signed: Mr Christopher Shawn McKeehan
Date Signed: 11/16/2023
Official Committee URL: jackallenforcongress.com

(End FEC FORM 1)

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