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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1011122

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1. Chafee 2016

    1800 Post Road
    Unit 17B
    Warwick, RI 02886
    Email: jca17@cox.net;jstevens1663@gmail.com

2. Date: 06/19/2015

3. FEC Committee ID #: C00579706 This committee is a Principal Campaign Committee. Candidate: Mr. Lincoln Davenport Chafee
Party: Democratic Party
Office Sought: President
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Jerauld Charles Adams
131 Clay Street
Central Falls, RI 02863

Treasurer:

Mr. Jerauld Charles Adams
131 Clay Street
Central Falls, Rhode Island 02863

Designated Agent(s):

Banks or Depositories

Centreville Bank
1218 Main Street
West Warwick, Rhode Island 02893

Signed: Mr. Jerauld Charles Adams
Date Signed: 06/19/2015
Official Committee URL: www.chafee2016.com

(End FEC FORM 1)

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