FEC Form 1 for Adam Smith for Congress CommitteeForm 1 for Adam Smith for Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-166106

1. Adam Smith for Congress Committee

PO Box 23626
Federal Way, WA 98093
Fax: 2535726123
Email: chelsea@electadamsmith.com

2. Date: 02/24/2005

3. FEC Committee ID #: C00304709 This committee is a Principal Campaign Committee. Candidate: Adam Smith
Party: National
Office Sought: House of Representatives
State is Washington in District: 9

Affiliated Committees/Organizations

Custodian of Records:

Chelsea Waliser
PO Box 23626
Federal Way, WA 98093
Title: Treasurer
Phone # (253) 906-6954

Treasurer:

Chelsea Waliser
PO Box 23626
Federal Way, Washington 98402
Title: Treasurer
Phone # (253) 906-6954

Designated Agent(s):

Banks or Depositories

Bank of America
2100 SW 336th St
Federal Way, Washington 98023

Signed: Chelsea Waliser
Date Signed: 02/24/2005
Official Committee URL: http://www.electadamsmith.com
Official Committee FAX: 2535726123

(End FEC FORM 1)

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