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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. Ted Deutch for Congress Committee
1050 17th St, NW, Ste 590 ADDRESS (number and street)
Check if different than previously Washington DC 20036
reported. (ACC)