FEC Form 1 for Jackie Speier for CongressForm 1 for Jackie Speier for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748926

1. Jackie Speier for Congress

PO BOX 112
BURLINGAME, CA 94011
Email: KIRK.PESSNER@MILLERPOLITICALLAW.COM

2. Date: 10/15/2011

3. FEC Committee ID #: C00443705 This committee is a Principal Campaign Committee. Candidate: Jackie Speier
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 14

Affiliated Committees/Organizations

Custodian of Records:

KIRK ALAN PESSSNER
20 PARK ROAD, STE E
BURLINGAME, CA 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Treasurer:

RUSSELL MILLER
20 PARK ROAD, STE E
BURLINGAME, California 94010
Title: Treasurer
Phone # (650) 401-8735

Designated Agent(s):

KIRK ALAN PESSSNER
20 PARK ROAD, STE E
BURLINGAME, California 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Banks or Depositories

Bank of the West
149 Park Road
Burlingame, California 94010

Borel Private Bank & Trust Company
160 Bovet Road
San Mateo, California 94402

ING Direct
P.O. Box 60
Saint Cloud, Minnesota 56302

Signed: RUSSELL MILLER
Date Signed: 10/15/2011
Official Committee URL: JACKIEFORCONGRESS.COM

(End FEC FORM 1)

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