FEC Form 1 for Friends of Jared Polis CommitteeForm 1 for Friends of Jared Polis Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-460432

1. Friends of Jared Polis Committee

P.O. Box 4572
Boulder, CO 80306
Email: kristin@polisforcongress.com

2. Date: 04/13/2010

3. FEC Committee ID #: C00435370 This committee is a Principal Campaign Committee. Candidate: Jared Polis
Party: Democratic Party
Office Sought: House of Representatives
State is Colorado in District: 02

Affiliated Committees/Organizations

Committee ID# C00461913
Jared Polis Victory Fund
PO Box Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Kristin Rodgers
PO Box 4572
Boulder, CO 80306
Title: Accountant
Phone # (303) 381-0121

Treasurer:

Michelle P DiMartino
581 Breckenridge Dr
Broomfield, Colorado 80020
Title: Treasurer
Phone # (303) 635-1600

Designated Agent(s):

Kristin Rodgers
PO Box 4572
Boulder, Colorado 80306
Title: Assistant Treasurer
Phone # (303) 381-0121

Polly Baca
PO Box 1174
Springfield, Virginia 22151
Title: Treasurer

Banks or Depositories

Wells Fargo Bank
1242 Pearl Street
Boulder, Colorado 80302

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

Signed: Michelle P DiMartino
Date Signed: 04/13/2010
Official Committee URL: http://www.polisforcongress.com

(End FEC FORM 1)

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