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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-270445

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1. Darcy Burner for Congress

    603 Stewart Street #819
    Seattle, WA 98101

    NOTE: Address is different than previously reported

    Fax: 2063818597
    Email: phil@soundbiz.net

2. Date: 01/22/2007

3. FEC Committee ID #: C00412478 This committee is a Principal Campaign Committee. Candidate: Darcy Burner
Party: National
Office Sought: House of Representatives
State is Washington in District: 8

Affiliated Committees/Organizations

Custodian of Records:

Philip Lloyd
603 Stewart Street #819
Seattle, WA 98101
Title: Treasurer
Phone # (206) 382-5552

Treasurer:

Philip Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Designated Agent(s):

Philip Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Banks or Depositories

Bank of America
701 Fifth Ave
Seattle, Washington 98104

Signed: Philip Lloyd
Date Signed: 01/22/2007
Official Committee URL: http://darcyburner.com
Official Committee FAX: 2063818597

(End FEC FORM 1)

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