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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1567734

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1. Web3 Forward

    805 15th Street, NW
    Suite 300
    Washington, DC 20005
    Email: psherman@ddcpublicaffairs.com;info@web3forward.com

2. Date: 02/07/2022

3. FEC Committee ID #: C00804187

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

Affiliated Committees/Organizations

Committee ID# C00788679
GMI PAC, Inc.
805 15th Street, NW
Suite 300
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Peter Sherman
805 15th Street, NW
Suite 300
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 830-2106

Treasurer:

Michael Carcaise
2595 Canyon Blvd, Ste 210
Boulder, Colorado 80302
Title: Treasurer
Phone # (303) 900-3196

Designated Agent(s):

Peter Sherman
805 15th Street, NW
Suite 300
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 830-2106

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Michael Carcaise
Date Signed: 02/07/2022
Official Committee URL: www.web3forward.com

FORM TEXT-1

(End FEC FORM 1)

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