FEC Form 1 for Independent Petroleum Association of Mountain States PAC (IPAMS PAC)Form 1 for Independent Petroleum Association of Mountain States PAC (IPAMS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-428317

1. Independent Petroleum Association of Mountain States PAC (IPAMS PAC)

410 17th Street Suite 700
Denver, CO 80202
Email: jbargas@ipams.org

2. Date: 07/31/2009

3. FEC Committee ID #: C00426569 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00426569
Independent Petroleum Association of Mountain States PAC (IPAMS PAC)
410 17th Street Suite 700
Denver, Colorado 80202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sarah S Cornwell
410 17th Street Suite 700
Denver, CO 80202
Title: Dir Admin & Acctng
Phone # (303) 623-0987

Treasurer:

Jonathan T. Bargas
2141 Olive
Denver, Colorado 80207
Title: Dir Public Affairs
Phone # (303) 623-0987

Designated Agent(s):

Banks or Depositories

FirstBank of Colorado
7590 W Colfax Ave
Lakewood, Colorado 80214

Signed: Jonathan T. Bargas
Date Signed: 07/31/2009
Official Committee URL: ipams.org

(End FEC FORM 1)

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