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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1569836

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1. Andy Levin for Congress

    1221 Bowers St.
    PO Box 1050
    Birmingham, MI 48012

    NOTE: Address is different than previously reported

    Email: janica@pcmsllc.com

2. Date: 02/17/2022

3. FEC Committee ID #: C00662619 This committee is a Principal Campaign Committee. Candidate: Andy Levin
Party: Democratic Party
Office Sought: House of Representatives
State is Michigan in District: 11

Affiliated Committees/Organizations

Committee ID# C00734970
ANDY LEVIN VICTORY FUND
910 17th St NW
Ste 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

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

Treasurer:

Lori Goldman
1221 Bowers St
PO Box 1050
Birmingham, Michigan 48012
Title: Treasurer
Phone # (248) 760-2419

Designated Agent(s):

Banks or Depositories

Amalgamated Bank
1825 K St NW
Washington, DC 20006

Signed: Lori Goldman
Date Signed: 02/17/2022
Official Committee URL: www.andylevinforcongress.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

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