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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1235270

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1. Animal Wellness Action PAC

    2720 Neilson Way #5340
    Unit 328
    Santa Monica, CA 90409
    Email: dharvilicz@gmail.com;aharvilicz@gmail.com

2. Date: 05/29/2018

3. FEC Committee ID #: C00679860

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

David Harvilicz
2720 Neilson Way #5340
Santa Monica, CA 90409
Title: Treasurer

Treasurer:

David Harvilicz
2720 Neilson Way #5340
Santa Monica, California 90409
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Wells Fargo
13455 Maxella Avenue
Marina Del Rey, California 90409

Signed: David Harvilicz
Date Signed: 05/30/2018

(End FEC FORM 1)

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