FEC Form 1 for Max Rose for CongressForm 1 for Max Rose for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1177708

1. Max Rose for Congress

PO Box 100496
Staten Island, NY 10310
Email: janica@pcmsllc.com

2. Date: 08/02/2017

3. FEC Committee ID #: C00652248 This committee is a Principal Campaign Committee. Candidate: Max Rose
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 11

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Janica Kyriacopoulos
1050 17th St NW Ste 590
Washington, DC 20036
Title: Treasurer
Phone # (202) 628-1580

Treasurer:

Janica Kyriacopoulos
1050 17th St NW Ste 590
Washington, DC 20036
Title: Treasurer
Phone # (202) 628-1580

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Janica Kyriacopoulos
Date Signed: 08/02/2017
Official Committee URL: www.maxroseforcongress.com

(End FEC FORM 1)

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