FEC Disclosure Form 1M for Headwaters Incorporated PACForm 1M for Headwaters Incorporated PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-124643

1. Headwaters Incorporated PAC

10653 S. River Front Parkway
Suite 300
South Jordan, UT 84095

2. FEC Committee ID #: C00388751

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: -
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	Jay Rockefeller	Senate	West Virginia/00	01/29/2004
(ii)	Jim Bunning	Senate	Kentucky/00	01/29/2004
(iii)	Kent Conrad	Senate	North Dakota/00	01/26/2004
(iv)	Arlen Specter	Senate	Pennsylvania/00	04/23/2004
(v)	Jim Oberstar	House of Representatives	Minnesota/08	07/01/2004

(b) Contributors: The committee received a contribution from its 51st contributor on: 10/24/2003

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 07/14/2003

(d) Qualification: The committee met the above requirements on: 07/01/2004

Treasurer: Mr. John N. Ward
Date Signed: 07/08/2004

(End FEC FORM 1M)

Generated Fri Aug 2 05:00:07 2024