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Fi FOR ST) wy ELEC RECEIVED Fup 21 a POLITICAL COMMITTEE - REGISTRATION STATEMENT AND DESIGNATION OF CAMPAIGN TREASURER AND DEPOSITORY t NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION { P.O. Box 165, Trenton, N) 05825-0185 (609) 292-8700 or Toll Frea Within NJ 1-688-313-ELEC (3932) | www alee 9] gov PLEASE TYPE OR PRINT ‘Gamma Name Era eens ° Families for Junkeon Justice Na idnifying Fler Acronym (Optional) Website ~ FAdgreee (Numbar and Street, City, Stale, Zip Code} 7 ee - "4400 Route 9 South, Suite 1000, Frechots, NJ O7T28 “[Areaj Gay Tetsonone _. NA a [Nin ~ — Gouniy egal Name of Elaaton Disa or Wancpaity 68a Jackson Township Eieston Dato [Po 11312020 La Flaclian Tyee: (check one} By eenaral (Senor “Amendnoni| ClRmot C1 Seeciat Lives i xo [GHAIRPERSON _ 4 lame ” Waling Address oe ~ a US aHaliox Cour _ - [sae Zi Goss — | sa 08083 | iveay Evang Taleptone | Untistet _. . Mary Macporot Gancy . Walling aadiess 1 aso, Rowe $ South, Suita 1900 iy [sme [Fie Goae i Freahold ens ete “{Aea] Day Tovephone “Gia Evening Telamhore (703) 49-6967 (703) 908-6107 Resident Address _ "1972 Grey ake Park Road civ Sate [Fis Code Glen Alien wa 25058 RY INFORMATION ue of Bank or Depository Bank of America Mailing Address {1681 W Broad Steet tity Richmond 289 7 _ . ‘Aocouat umber sccouint Name (area) Bay Telephions Families for Jackson Justion (904) 3 {* 4350-4399 0032 LIST THE NAME(S), MAILING ADOREGG(ES) AND TELEPHONE NUMBER(S) OF ANY PERSON(S) AUTHORIZED FO SIGN CHECKS OR OTHERWISE MAKE TRANSACTIONS. (Use aditional sheets necessary) Name acy Margaret Clancy Bialing Adsiese 4200 Route 9 South, Sula $005 _ ow TSiale [zp tine Fresno tow iors Tia) Day Telephone qa) Evening Toophone (703) 988-6167 [_trosjqusste7 Wana [aig Raieas iy Sate [Ze code i - *[ioay Day Teepton SG Evering Totophone Tae Tiaiing RGSS ~ ~ oy [Sie 7p Cae I “Tivea) Day Feiophone S(aieay Evening Paleorane General Organizational Category or Affiliation [This secion includes, Ut nol brite (suppor of er appnation toa Canela, publi ofceholder, or public question or support of ar afiaton wi a business, unian, professional or trado conaten, ideological group, eke association, Independent expenditure only comnitae or other ent.) Independant Expand ture-Onty Commitee Tistthe namesimailing addresses of the persons of entities having contral over the affairs ofthe political committee, [Phi section includes, but i not Limited fo parsons in whose name or atwhose ditackon or suggestion the commitiee sols fcwe or makes coctibutions ) Worentca, VA 20186 Hateman Vogal Jsefiak Torchineky PLS Watrerton, VA 20186 LIST THE WAMESTNAILING ADDRESSES OF THE PERSON OR ENTITIES WHO, DIRECTLY OR THROUGH AN AGENT, PARTICIPATED IN THE INITIAL ORGANIZATION OF THE COMMITTEE. (Lise additional sheets if nacessary) HilDrive, Suto 100 racrenton, VA 20188 Tiat the economic, political, or other particular interests and objectives to be advariced by the political committee. Making independent expenditures in Jackson Towasip List he name and resident address of a Now Jersey resident who has boon designated by the committee as the agent of ‘the politcal committee to cacaive service of legal process. Note: If te troasurer Is a New Jersey resident, he/she may be designated to accept service of legal process. heme Jennie Goluce! aiing Adaress 4400 Roule 9 South, Sue 1000 orres Zp Coss Freehold | CHAIRPERSON/TREASURER CERTIFICATION FOR PUBLIC QUESTION COMMITTEES | cently thatthe stotements om this document ae tue and earrect | furor coy that ro candidate or effeeholdec has astabished, ‘authorized tne establenment of, maintaines or patioipatad diactly or indirectly inthe management or conto tthe potion ‘commie, and no candidate shall ba permited to do 20 during the existence of the polical commites. Yam aware that if any of the statement aco wily Taba, |reay be subject fo punishment PERSON/TREASURER CERT! ‘Wil this committee engage in anty independent expensiiure acuity?) Yes (No I cory that he statements on this document ae tuo and covet. further eemy thet no candsdate or afficeholder has establishe, futhorizas the ostatletmant of, maintained or parvepated czecty or indirectly ane management or central of tba poltial fomnitee, and n0 candidate shal be permite fo do so during the existence ofthe politcal commkige. am sare that i any ofthe Biatements 09 this document are willy flee, | may be subject fo punishment. 2)2o[2oz0.. venoms C= Ahibo Way argon lance Ann mo srw sath

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