FEC Form 1 for Williams and Jensen, PLLC Political Action CommitteeForm 1 for Williams and Jensen, PLLC Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410056

1. Williams and Jensen, PLLC Political Action Committee

1155 21st Street NW
Suite 300
Washington, DC 20036
Email: mgkelley@wms-jen.com

2. Date: 03/27/2009

3. FEC Committee ID #: C00039206 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Custodian of Records:

J. Steven Hart
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Treasurer
Phone # (202) 659-8201

Treasurer:

J. Steven Hart
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Treasurer
Phone # (202) 659-8201

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: J. Steven Hart
Date Signed: 03/27/2009

(End FEC FORM 1)

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