FEC Form 1 for Perlmutter for CongressForm 1 for Perlmutter for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-757554

1. Perlmutter for Congress

3440 Youngfield Street
#264
Wheat Ridge, CO 80033
Email: chrokala@comcast.net

2. Date: 12/31/2011

3. FEC Committee ID #: C00410639 This committee is a Principal Campaign Committee. Candidate: Edwin Perlmutter
Party: Democratic Party
Office Sought: House of Representatives
State is Colorado in District: 07

Affiliated Committees/Organizations

Committee ID# C00487561
Colorado Democratic Congressional Committee
P.O. Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00487561
Colorado Democratic Congressional Comm
P.O. Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00501825
Jared Polis Victory Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Curtis H Rokala
460 South Marion Parkway #2006C
Denver, CO 80209
Title: compliance officer
Phone # (303) 282-1219

Treasurer:

Karen J Rokala
2801 Youngfield Street
Suite 151
Golden, Colorado 80401
Title: Treasurer
Phone # (303) 475-8941

Designated Agent(s):

Banks or Depositories

Wells Fargo
2500 E. 2nd Ave. Ste 101
Denver, Colorado 80206

City National Bank
2029 Century Park East
Los Angeles, California 90067

Bank of America
730 15th Street, NW
Washington, DC 20005

Bank of America
730 15th Street, NW
Washington, DC 20005

Signed: Karen J Rokala
Date Signed: 12/31/2011
Official Committee URL: http://www.perlmutterforcolorado.com

(End FEC FORM 1)

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