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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1328474

1. Max Rose for Congress

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

2. Date: 04/23/2019

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

Committee ID# C00653295
Serve America Victory Fund
PO BOX 2013
Salem, Massachusetts 01970
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00685933
Rose Victory Fund
910 17TH STREET, NW
SUITE 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Janica Kyriacopoulos
PO Box 65322
Washington, DC 20035
Title: Treasurer
Phone # (202) 628-1580

Treasurer:

Janica Kyriacopoulos
PO Box 65322
Washington, DC 20035
Title: Treasurer
Phone # (202) 628-1580

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

First Interstate Bank
PO Box 4667
Missoula, Montana 59806

Bank of America
100 North Tryon Street
Charlotte, North Carolina 28255

Signed: Janica Kyriacopoulos
Date Signed: 11/29/2018
Official Committee URL: www.maxroseforcongress.com

(End FEC FORM 1)

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