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FEC Form 1 for BHFS-E, PC PAC (Brownstein Hyatt Farber Schreck Political Action Committee)Form 1 for BHFS-E, PC PAC (Brownstein Hyatt Farber Schreck Political Action Committee)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-786900


1. BHFS-E, PC PAC (Brownstein Hyatt Farber Schreck Political Action Committee)

    NOTE:Commmittee Name is different than previously reported

    410 Seventeenth Street
    Suite 2200
    Denver, CO 80202
    Email: sdemby@bhfs.com

2. Date: 05/23/2012

3. FEC Committee ID #: C00390583 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

BHFS-E, PC, formerly known as Brownstein Hyatt Farber Schreck, P.C.
410 Seventeenth Street
Suite 2200
Denver, Colorado 80202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ashley Stewart
1350 I Street, NW
Suite 510
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 296-7353

Treasurer:

Steven Demby
410 17th Street
Suite 2200
Denver, Colorado 80202
Title: Treasurer
Phone # (303) 223-1100

Designated Agent(s):

Judy A. Black
1350 I Street, NW
Suite 510
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 872-5285

Banks or Depositories

Steele Street State Bank
1641 California Street
Suite 100
Denver, Colorado 80202

Signed: Mr. Steven Demby
Date Signed: 05/23/2012

(End FEC FORM 1)


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