FEC Form 1 for VAN NESS FELDMAN, P.C. POLITICAL ACTION COMMITTEEForm 1 for VAN NESS FELDMAN, P.C. POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773263

1. VAN NESS FELDMAN, P.C. POLITICAL ACTION COMMITTEE

1050 Thomas Jefferson Street, NW
Washington, DC 20007
Email: dew@vnf.com

NOTE: Email address is different than previously reported

2. Date: 04/04/2012

3. FEC Committee ID #: C00205369 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

Van Ness Feldman, P.C.
1050 Thomas Jefferson Street, NW
Washington, DC 20007
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Deborah White
719 Second Avenue
Suite 1150
Seattle, WA 98104
Title: Custodian of Records
Phone # (206) 623-1804

Treasurer:

Jonathan Simon
1050 Thomas Jefferson St NW
Washington, DC 20007
Title: Treasurer
Phone # (202) 298-1932

Designated Agent(s):

Thomas Roberts
1546 N. Ivanhoe Street
Arlington, Virginia 22205
Title: Asst. Treasurer

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773263

1. VAN NESS FELDMAN, P.C. POLITICAL ACTION COMMITTEE

NOTE: Email address is different than previously reported

2. Date: 04/04/2012

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan Simon
Date Signed: 04/04/2012

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773263

1. VAN NESS FELDMAN, P.C. POLITICAL ACTION COMMITTEE

NOTE: Email address is different than previously reported

2. Date: 04/04/2012

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Jonathan Simon Date Signed: 04/04/2012

(End FEC FORM 1)

Signed: Jonathan Simon
Date Signed: 04/04/2012