FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1518749
1. JILL STEIN FOR PRESIDENT
269 12th StreetBrooklyn, NY 11215
Email: treasurer@jillstein.net;info@jillstein.net
NOTE: Email address is different than previously reported
2. Date: 06/04/2021
3. FEC Committee ID #: C00581199 This committee is a Principal Campaign Committee. Candidate: JILL STEINParty: Green Party
Office Sought: President
State is in District:
Affiliated Committees/Organizations
NONE, ____
Custodian of Records:
Matthew Kozlowski1750 Fordem Ave
#706
Madison, WI 53704
Title: Custodian of Records
Phone # (715) 571-1577
Treasurer:
James Lane269 12th Street
Brooklyn, New York 11215
Title: Treasurer
Phone # (917) 865-2591
Designated Agent(s):
Banks or Depositories
Summit Credit UnionPO Box 8046
Madison, Wisconsin 53708