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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1521341

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1. Real Tina For Congress

    336 N Babcock Street Ste 104
    Melbourne, FL 32935
    Email: mvmrjm@aol.com

2. Date: 06/22/2021

3. FEC Committee ID #: C00782581 This committee is a Principal Campaign Committee. Candidate: Tina Forte
Party: Republican Party
Office Sought: House of Representatives
State is New York in District: 14

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Devaughn E Dames
336 N Babcock St Ste 104
Melbourne, FL 32935
Title: Treasurer
Phone # (786) 390-1377

Treasurer:

Devaughn E Dames
336 N Babcock St Ste 104
Melbourne, Florida 32935
Title: Treasurer
Phone # (786) 390-1377

Designated Agent(s):

Banks or Depositories

Flushing Bank
1044 William Floyd Parkway
Shirley, New York 11967

Signed: Devaughn E Dames
Date Signed: 06/22/2021
Official Committee URL: www.realtinaforcongress.com

(End FEC FORM 1)

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