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FEC Form 1 for WASHINGTON STATE FARM BUREAU PACForm 1 for WASHINGTON STATE FARM BUREAU PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-747279


1. WASHINGTON STATE FARM BUREAU PAC

    975 CARPENTER ROAD NE, SUITE 301
    .
    LACEY, WA 98516
    Email: dbidwell@wsfb.com

    NOTE: Email address is different than previously reported

2. Date: 10/11/2011

3. FEC Committee ID #: C00325977 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Washington State Farm Bureau
P.O. Box 8690
Lacey, Washington 98509
Affiliated Relationship Code: Connected Organization

Custodian of Records:


Treasurer:

Patrick Batts
975 Carpenter Rd. NE #301
Lacey, Washington 98516
Title: Treasurer
Phone # (360) 357-9975

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
P.O. Box 63020
San Francisco, California 94163

Signed: Patrick Batts
Date Signed: 10/11/2011

(End FEC FORM 1)


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