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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1542219

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1. Mark Kelly for Senate

    PO Box 27202
    Tucson, AZ 85726
    Email: dacey@tmwcompliance.com

2. Date: 07/01/2021

3. FEC Committee ID #: C00696526 This committee is a Principal Campaign Committee. Candidate: Mark Kelly
Party: Democratic Party
Office Sought: Senate
State is Arizona in District:

Affiliated Committees/Organizations

Committee ID# C00706861
Mark Kelly Victory Fund
3104 E Camelback Rd
#924
Phoenix, Arizona 85016
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00744540
Blue Senate Candidate Fund
918 Pennsylvania Ave SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00747469
Common Sense 2020
910 17th Street, NW
Suite 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00768853
Blue Senate 2022
600 Pennsylvania Avenue SE #15180
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00769794
Justice 2022
600 Pennsylvania Ave SE #15180
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00777672
Win The West 2022
910 17th NW
Ste 925
Washington, DC 20006
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Dacey Montoya
PO Box 97241
Phoenix, AZ 85060
Title: Compliance Officer
Phone # (602) 228-8902

Treasurer:

Jamescita Peshlakai
PO Box 344
Cameron, Arizona 86020
Title: Treasurer
Phone # (928) 606-4998

Designated Agent(s):

Dacey Montoya
PO Box 97241
Phoenix, Arizona 85060
Title: Compliance Officer
Phone # (602) 228-8902

Banks or Depositories

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Woodsboro Bank
PO Box 36
Woodsboro, Maryland 21798

Signed: Jamescita Peshlakai
Date Signed: 10/13/2021

(End FEC FORM 1)

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