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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-49172

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1. Pacific Northwest Fund

    PMB 99
    2149 W Cascade Ste 106A
    Hood River, OR 97031
    Email: PacificNWFund@aol.com

2. Date: 07/29/2002

3. FEC Committee ID #: C00380386

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Marta Simons
PMB 99
2149 W Cascade Ste 106A
Hood River, OR 97031
Title: Treasurer
Phone # (541) 490-1262

Treasurer:

Marta Simons
PMB 99
2149 W Cascade Ste 106A
Hood River, Oregon 97031
Title: Treasurer
Phone # (541) 490-1262

Designated Agent(s):

Marta Simons
PMB 99
2149 W Cascade Ste 106A
Hood River, Oregon 97031
Title: Treasurer
Phone # (541) 490-1262

Banks or Depositories

Columbia River Bank
2650 Cascade Avenue
PO Box 980
Hood River, Oregon 97031

Signed: Marta Simons
Date Signed: 09/04/2002

(End FEC FORM 1)

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