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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-290764

1. Adam Smith for Congress Committee

PO Box 23626
Federal Way, WA 98093
Fax: 2063818597
Email: phil@seattlecfo.com

2. Date: 06/13/2007

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:

Philip Lloyd
603 Stewart Street #819
Seattle, WA 98101
Title: Treasurer
Phone # (206) 382-5552

Treasurer:

Philip Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Designated Agent(s):

Philip Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Banks or Depositories

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

Signed: Philip Lloyd
Date Signed: 06/13/2007
Official Committee URL: http://www.electadamsmith.com
Official Committee FAX: 2063818597

(End FEC FORM 1)

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