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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996611

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1. Adam Smith for Congress Committee

    PO Box 578
    Renton, WA 98057
    Email: jay@bluewavepolitics.com

    NOTE: Email address is different than previously reported

2. Date: 03/12/2015

3. FEC Committee ID #: C00304709 This committee is a Principal Campaign Committee. Candidate: Adam Smith
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 09

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Jay Petterson
119 1st Ave S Suite 320
Seattle, WA 98104
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
119 1st Ave S Suite 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Jay Petterson
119 1st Ave S Suite 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Banks or Depositories

Bank of America
3601 Stone Way N
Seattle, Washington 98103

Pacific Crest Bank
3500 188th St SW #575
Lynnwood, Washington 98037

Signed: Jay Petterson
Date Signed: 03/12/2015
Official Committee URL: http://www.electadamsmith.com

(End FEC FORM 1)

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