FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-879356
1. MOSS ADAMS LLP POLITICAL ACTION COMMITTEE
999 3RD AVENUE, SUITE 3300SEATTLE, WA 98104
Email: ann.watson@mossadams.com;kristin.fahlen@mossadams.com
2. Date: 07/15/2013
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: Leadership PAC Sponsor
Custodian of Records:
Ann Watson
999 Third AVE Suite 3300
Seattle, WA 98104
Title: CFO
Phone # (206) 302-6840
Treasurer:
Ann Watson
999 Third AVE Suite 3300
Seattle, Washington 98104
Title: CFO
Phone # (206) 302-6840
Designated Agent(s):
Ann Watson
999 Third AVE Suite 3300
Seattle, Washington 98104
Title: CFO
Phone # (206) 302-6840
Banks or Depositories
Bank of America
701 5th AVE
Seattle, Washington 98104
Signed: Ann Watson
Date Signed: 07/15/2013
(End FEC FORM 1)
Date Signed: 07/15/2013