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FEC Form 1 for SSA Marine Inc. Good Government FundForm 1 for SSA Marine Inc. Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-312049


1. SSA Marine Inc. Good Government Fund

    1131 SW Klickitat Way
    Seattle, WA 98134
    Fax: 206-382-8499
    Email: mark.johnson@ssamarine.com

2. Date: 03/18/2004

3. FEC Committee ID #: C00397893 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00397893
SSA Marine Inc.
1131 SW Klickitat Way
Seattle, Washington 98134
Relationship: Connected Organization
Organization Type: Corporation

Custodian of Records:

Jill Jansen
1131 SW Klickitat Way
Seattle, WA 98134
Title: Executive Assistant
Phone # (206) 654-3523

Treasurer:

Mark Johnson
1850 M Street NW
Suite 910
Washington, DC 20036
Title: Vice President Gov
Phone # (202) 463-2517

Designated Agent(s):

Mark Johnson
1850 M Street NW Suite 910
Washington, DC 20036
Title: Vice President
Phone # (202) 463-2517

Banks or Depositories

Bank of America
800 5th Avenue
Seattle, Washington 98104

Signed: Mark Johnson
Date Signed: 11/30/2007
Official Committee FAX: 206-382-8499

(End FEC FORM 1)


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