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MICHIGAN DEPARTMENT OF STATE BUREAU OF EL IS ae ORIGINAL OR AMENDED STATEMENT OF ORGANIZATION FORM FOR CANDIDATE COMMITTEES. 1 Commiioe REPORTING WAIVER REQUEST: lire conmlos om C. t004-O(F cto reve or expend mn excess of $1 000 n an election ‘nu ccs is bo, ng requlement fp, post an sera carmelgn stators 'swatved The Reporting Wen woe utatcaly lst to commie exes te 31000 eso 11, Name and Address of Depositores 0: Intended Depostores 3. Full Name of Committe (must include Candidate's frst | of commie turds: icigan Bank, Credt Union or Serge & Coan and lastname): Hatim Elhady for City Council Peaca 4a. Candidate Full Namo (Last, First, ML Seeeen ee amendment to tems: Eft. Date: Hatim Einacy Tor Bank. & 2 2 : 1 East Liberty L4p. Political Party (if applicable): le S eens Ann Arbor Ml 48104 B 4c, County of Residence: Washtenaw Se b. Secondary Depository 2 44, Office Sought (Check one): 0 Dleoverner (ur covemor state senator Be - 3 LD state Rep. Sec. of State Datomay Gen, =e 5 2 (stato 80. orca CF] uot Rog su Trustee | 12. Cris tom applies only to GubernatSal Candidate ]Wsu Gov. [Supreme Court F) Appeals Court | Committees: Check if this committe Intends fo seek qualifying circuit cour Distt Cour Provate Cour, | contributions or make qualifying expenditures. Ci municipal court 418 ELECTRONIC FLING: This tem apples to commie that le with Lotal or other please specify: Ann Arbor city council tho tlchigan Dopsrment of State Bureau of Eletons ony and dovs not ‘apply to Candidate Comvaitecs that fle with the County Gris ofce 40, DistrleUCircuit # or Jurisdltion: Ward 4 & Oa Commins Formas, 219009 _ We Sami Fem oy cae vl es iy comma rene 28) 27489 eerie aera Gb. Committee Fax #: Taiec ol anoei eet aati eeaonn eaten is provided to 6c, Committee E-mail Address: _ethady4council@gmail.com ~~] Lcommitse spent or received or expects to spend or recave in 6d, Committee Website Address: 'exc28s of $20,000 and is requited to fle electronically 7a. Complete Comm. Mailing Address (May be PO Box): “OR” 824 Brown Street #4. Commitee aid not spend or receive or does not expect to spend ‘Ann Arbor Ml 48104 or receive in excess of $20,000 and would ike fo fle electronically rotutaniy 7b. Complete Comm. Street Address (May notbe POBox): | 44. Verification: (We certy that all reasonable dilgence wes used imino preparation of the above sttomort and at fe confers sre 824 Brown Street #4 true, accurate and complete to the best of my/our knowledge or Ann Arbor Ml 48104 belief. If filing electronically, we further agree that the signatures: below shal sere as te soroures tat very the ecctoy and i oereee ae ee eney ett reife ieju cual eta Seen omplete Add \We certify that all reasonable diligence will be used in the Karen Sidney preparation of eech statement electronically filed by this committee ei ee Ere tt tne contra of oxen etter va bo tee secon Pdr ateaieectar Corelle tote bet of ripourkrowouge ot beet” Sign Name sna) Renan pry in Eade E-mail Ade tn. Ed RBI oy ta nee ‘Candidate e Dsignsted Record Keoper Name and Complete Address he aa thls een ate — Ema Ades Designated Record Keep ected only fing TearaRCTH) TOT CAN SO GbE REV TOOT ARCA GraMIeG UGH BASES OVTOTE a STERGSS

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