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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-123717

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1. Citizens to Elect Rick Larsen

    PO Box 326
    Everett, WA 98206
    Fax: 4252591866
    Email: ricklarsen2004@verizon.net

2. Date: 06/23/2004

3. FEC Committee ID #: C00345546 This committee is a Principal Campaign Committee. Candidate: Rick R Larsen
Party: National
Office Sought: House of Representatives
State is Washington in District: 2

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Brooke N Davis
PO Box 326
Everett, Washington 98206
Title: Treasurer
Phone # (425) 259-1866

Designated Agent(s):

Banks or Depositories

Bank of America
1602 Hewitt Ave
Everett, Washington 98201

Signed: Brooke N Davis
Date Signed: 06/23/2004
Official Committee URL: www.ricklarsen.org
Official Committee FAX: 4252591866

(End FEC FORM 1)

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