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FOR ST) wy
ELEC RECEIVED
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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 0032LIST 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 20186LIST 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 20188Tiat 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.
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Ahibo Way argon lance Ann
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