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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1082069

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1. Moulton for Congress

    PO Box 2013
    Salem, MA 01970
    Email: Darryl@CommonCentsConsulting.net

2. Date: 07/08/2016

3. FEC Committee ID #: C00547240 This committee is a Principal Campaign Committee. Candidate: Seth Moulton
Party: Democratic Party
Office Sought: House of Representatives
State is Massachusetts in District: 06

Affiliated Committees/Organizations

Committee ID# C00616482
Congressional Cousins Victory Fund
410 1 St, SE
STE 310
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Darryl Tattrie
PO Box 2013
Salem, MA 09170
Title: Assistant Treasurer

Treasurer:

Aaron Bartnick
PO Box 2013
Salem, Massachusetts 09170
Title: Treasurer

Designated Agent(s):

Darryl Tattrie
PO Box 2013
Salem, Massachusetts 09170
Title: Assistant Treasurer

Banks or Depositories

Citizens Bank
1 Citizens Plaza
Providence, Rhode Island 02903

Amalgamated Bank
1825 K St, NW
Washington, DC 20006

Signed: Aaron Bartnick
Date Signed: 07/08/2016
Official Committee URL: www.SethMoulton.com

(End FEC FORM 1)

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