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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1363362

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1. Evelyn for NY

    P.O. Box 662
    Chappaqua, NY 10514
    Email: compliance2@bluewavepolitics.com

2. Date: 11/18/2019

3. FEC Committee ID #: C00727693 This committee is a Principal Campaign Committee. Candidate: Evelyn Farkas
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 17

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Lora Haggard
499 South Capitol Street, SW
Suite 407
Washington, DC 20003
Title: Treasurer
Phone # (202) 975-0333

Treasurer:

Lora Haggard
499 South Capitol Street, SW
Suite 407
Washington, DC 20003
Title: Treasurer
Phone # (202) 975-0333

Designated Agent(s):

Lora Haggard
499 South Capitol Street, SW
Suite 407
Washington, DC 20003
Title: Treasurer
Phone # (202) 975-0333

Banks or Depositories

Bank of America
91 S Greeley Ave
Chappaqua, New York 10514

Signed: Lora Haggard
Date Signed: 11/18/2019

(End FEC FORM 1)

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