FEC Form 1 for Inslee for CongressForm 1 for Inslee for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-412631

1. Inslee for Congress

PO Box 33027
Seattle, WA 98133
Email: phil@seattlecfo.com

2. Date: 04/14/2009

3. FEC Committee ID #: C00337436 This committee is a Principal Campaign Committee. Candidate: Jay Inslee
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 01

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
701 Fifth Ave
Seattle, Washington 98104

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

Signed: Philip Lloyd
Date Signed: 04/14/2009
Official Committee URL: http://www.jayinslee.com

(End FEC FORM 1)

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