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FEC Form 1 for AMAZON.COM HOLDINGS INC. SEPARATE SEGREGATED FUNDForm 1 for AMAZON.COM HOLDINGS INC. SEPARATE SEGREGATED FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-187926


1. AMAZON.COM HOLDINGS INC. SEPARATE SEGREGATED FUND

    126 C STREET NW
    WASHINGTON, DC 20001
    Fax: 2483717272
    Email: Holly_J_Morris@comerica.com

2. Date: 10/07/2005

3. FEC Committee ID #: C00360354 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

AMAZON.COM HOLDINGS INC.
1200 12TH AVENUE SOUTH
SEATTLE, Washington 98144
Relationship: CONNECTED
Organization Type: Corporation

Custodian of Records:

JAMES HOEBERLING
COMERICA BANK PAC SERVICES
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORDKEEER
Phone # (248) 371-5562

Treasurer:

SHELLY KEMEZA
126 C STREET NW
WASHINGTON, DC 20001
Title: TREASURER
Phone # (202) 347-7390

Designated Agent(s):

JOANNA LEINAWEAVER
1200 12TH AVENUE SOUTH
SUITE 1200
SEATTLE, Washington 98144
Title: ASST. TREASURER
Phone # (206) 266-6915

Banks or Depositories

COMERICA BANK
PAC SERVICES
P.O. BOX 75000
DETROIT, Michigan 482752250

Signed: Shelly Kemeza
Date Signed: 10/07/2005
Official Committee FAX: 2483717272

(End FEC FORM 1)


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