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    <CommitteeCode>CC-17-00066</CommitteeCode>
    <CommitteeName>Kelly Fowler for Delegate</CommitteeName>
    <ReportYear>2017</ReportYear>
    <Address>
      <Line1>PO Box 6769</Line1>
      <City>Virginia Beach</City>
      <State>VA</State>
      <ZipCode>23456</ZipCode>
    </Address>
    <FilingDate>2018-01-16</FilingDate>
    <StartDate>2017-12-01</StartDate>
    <EndDate>2017-12-31</EndDate>
    <SubmitterPhone>(757) 635-2021</SubmitterPhone>
    <SubmitterEmail>wdfowl78@verizon.net</SubmitterEmail>
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    <ElectionCycle>11/2017</ElectionCycle>
    <OfficeSought>House of Delegates</OfficeSought>
    <District>21</District>
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        <LastName>Fuentes</LastName>
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          <City>Rego Park</City>
          <State>NY</State>
          <ZipCode>11374-5041</ZipCode>
        </Address>
        <NameOfEmployer>NYU Lutheran hospital</NameOfEmployer>
        <OccupationOrTypeOfBusiness>Director</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Brooklyn NY</PrimaryCityAndStateOfEmploymentOrBusiness>
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          <Line1>919 E Main St</Line1>
          <Line2>Ste 620</Line2>
          <City>Richmond</City>
          <State>VA</State>
          <ZipCode>23219-4600</ZipCode>
        </Address>
        <OccupationOrTypeOfBusiness>Lawyers</OccupationOrTypeOfBusiness>
        <PrimaryCityAndStateOfEmploymentOrBusiness>Richmond VA</PrimaryCityAndStateOfEmploymentOrBusiness>
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          <State>PA</State>
          <ZipCode>15251-9264</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2017-12-02</TransactionDate>
      <Amount>250.00</Amount>
      <AuthorizingName>William Fowler</AuthorizingName>
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        <LastName>ActBlue Virginia</LastName>
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          <State>VA</State>
          <ZipCode>23089-5600</ZipCode>
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      <AuthorizingName>William Fowler</AuthorizingName>
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      <AuthorizingName>William Fowler</AuthorizingName>
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        <Address>
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          <City>Virginia Beach</City>
          <State>VA</State>
          <ZipCode>23456-1308</ZipCode>
        </Address>
      </Payee>
      <TransactionDate>2017-12-31</TransactionDate>
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      <AuthorizingName>William Fowler</AuthorizingName>
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