FEC Form 1 for Gallego For ArizonaForm 1 for Gallego For Arizona

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-963721

1. Gallego For Arizona

PO Box 1710
Phoenix, AZ 85001
Email: info@GallegoForArizona.com

2. Date: 10/14/2014

3. FEC Committee ID #: C00558627

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

Committee ID# C00569368
Kirkpatrick Gallego Victory Fund
2910 E GARY WAY
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mary Chlan
PO Box 1710
Phoenix, AZ 85001
Title: Custodian of Records

Treasurer:

Darryl Tattrie
2910 E GARY WAY
Phoenix, Arizona 85042
Title: Treasurer
Phone # (602) 315-2955

Designated Agent(s):

Mary Chlan
PO Box 1710
Phoenix, Arizona 85042
Title: Asst. Treasurer
Phone # (480) 201-7123

Banks or Depositories

Wells Fargo
100 W. Washington St.
Phoenix, Arizona 85003

Signed: Darryl Tattrie
Date Signed: 10/14/2014
Official Committee URL: www.GallegoForArizona.com

(End FEC FORM 1)

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