FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-486061
1. Jim Costa For Congress
2037 W Bullard Avenue# 355
Fresno, CA 937111200
Email: kencfresno@aol.com
2. Date: 08/06/2010
3. FEC Committee ID #: C00391029This committee is an independent expenditure-only political committee (Super PAC).
Affiliated Committees/Organizations
Farr - Costa 2010
555 Capitol Mall
Suite 1425
Sacramento, California 958144602
Affiliated Relationship Code: Joint Fundraising Representative
Custodian of Records:
Ken Costa
1784 S Chateau Fresno Avenue
Fresno, CA 937069406
Title: Treasurer
Treasurer:
Ken Costa
1784 S Chateau Fresno Avenue
Fresno, California 937069406
Title: Treasurer
Designated Agent(s):
Banks or Depositories
Premier Valley Bank
8355 N Fresno Street
Suite 180
Fresno, California 937201541
U.S. Bank
621 Capitol Mall
Suite 800
Sacramento, California 958144726
Signed: Ken Costa
Date Signed: 08/06/2010
(End FEC FORM 1)
Date Signed: 08/06/2010