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REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3 For An Authorized Committee Office Use Only
1. NAME OF TYPE OR PRINT Example: If typing, type 12FE4M5 COMMITTEE (in full) over the lines. VANILA SINGH FOR CONGRESS 2014
PO BOX 14037 ADDRESS (number and street)
Check if different than previously FREMONT CA 94539
reported. (ACC)