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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1554221

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1. Elder for America

    18685 Main Street
    Suite 101-291
    Huntington Beach, CA 92648
    Email: info@elderforamerica.com;info@campaign-compliance.com

2. Date: 01/04/2022

3. FEC Committee ID #: C00799361

This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Steve Baric
18685 Main Street
Suite 101-291
Huntington Beach, CA 92648
Title: Treasurer
Phone # (949) 677-3688

Treasurer:

Steve Baric
18685 Main Street
Suite 101-291
Huntington Beach, California 92648
Title: Treasurer
Phone # (949) 677-3688

Designated Agent(s):

Banks or Depositories

Bank of America
67 Technology
Irvine, California 92618

Signed: Steve Baric
Date Signed: 01/04/2022
Official Committee URL: www.elderforamerica.com

FORM TEXT-1

(End FEC FORM 1)

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