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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-135988

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1. Friends of Dave Ross

    7683 SE 27th St PMB 163
    Mercer Island, WA 98040
    Fax: 2069377883
    Email: info@daveross2004.com

2. Date: 09/22/2004

3. FEC Committee ID #: C00401851 This committee is a Principal Campaign Committee. Candidate: Dave Ross
Party: National
Office Sought: House of Representatives
State is Washington in District: 8

Affiliated Committees/Organizations

Win Back Washington 2004
5236 36th Ave. SW
Seattle, Washington 98126
Relationship: Joint Fundraising Representative

Custodian of Records:

Philip Lloyd
7683 SE 27th St PMB 163
Mercer Island, WA 98040
Title: Treasurer
Phone # (206) 932-8878

Treasurer:

Philip Lloyd
7683 SE 27th St PMB 163
Mercer Island, Washington 98040
Title: Treasurer
Phone # (206) 932-8878

Designated Agent(s):

Philip Lloyd
7683 SE 27th St PMB 163
Mercer Island, Washington 98040
Title: Treasurer
Phone # (206) 932-8878

Banks or Depositories

Bank of America
PO Box 34414
Seattle, Washington 98124

Signed: Philip E. Lloyd
Date Signed: 09/22/2004
Official Committee URL: www.daveross2004.com
Official Committee FAX: 2069377883

(End FEC FORM 1)

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