FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1290709
1. MOSS ADAMS LLP POLITICAL ACTION COMMITTEE
999 3RD AVENUE, SUITE 3300SEATTLE, WA 98104
Email: fumiko.yarita@mossadams.com;michael.newhouse@mossadams.com
2. Date: 07/09/2018
3. FEC Committee ID #: C00320671This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.
Affiliated Committees/Organizations
Committee ID# C00320671
MOSS ADAMS LLP POLITICAL ACTION COMMITTEE
999 3RD AVENUE, SUITE 3300
SEATTLE, Washington 98104
Affiliated Relationship Code: Connected Organization
Custodian of Records:
David Follett
999 3rd Ave
Ste. 2800
Seattle, WA 98104
Title: COO
Phone # (206) 302-6500
Treasurer:
David Follett
999 3rd Ave
Ste. 2800
Seattle, Washington 98104
Title: COO
Phone # (206) 302-6500
Designated Agent(s):
David Follett
999 3rd Ave
Ste. 2800
Seattle, Washington 98104
Title: COO
Phone # (206) 302-6500
Banks or Depositories
Chase
PO Box 182051
Columbus, Ohio 43218
Signed: David Follett
Date Signed: 11/06/2018
(End FEC FORM 1)
Date Signed: 11/06/2018