FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-516189
1. Conkling Fiskum & McCormick Federal PAC
1100 SW 6th Ave.,Suite 1425
Portland, OR 97204
Email: joelr@cfmdc.com
NOTE: Email address is different than previously reported
2. Date: 08/10/2010
3. FEC Committee ID #: C00396218This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00396218
Conkling Fiskum & McCormick Federal PAC
1100 SW 6th Ave.,
Suite 1425
Portland, Oregon 97204
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Kirsten Johnson
1100 SW 6th Ave., Suite 1425
Portland, OR 97204
Title: Office Manager
Phone # (503) 294-9120
Treasurer:
Joel Rubin
1100 SW 6th Ave., Suite 1425
Portland, Oregon 97204
Title: V P Federal Affairs
Phone # (202) 347-9171
Designated Agent(s):
Banks or Depositories
Wells Fargo Bank
900 SW 5th Ave.
Portland, Oregon 97204
Signed: Joel Rubin
Date Signed: 11/16/2010
(End FEC FORM 1)
Date Signed: 11/16/2010