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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-418494

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1. Jim Himes for Congress

    857 Post Road, #312
    Fairfield, CT 06824
    Email: info@himesforcongress.com

2. Date: 05/26/2009

3. FEC Committee ID #: C00434191 This committee is a Principal Campaign Committee. Candidate: Jim Himes
Party: Democratic Party
Office Sought: House of Representatives
State is Connecticut in District: 04

Affiliated Committees/Organizations

Committee ID# C00461913
Jared Polis Victory Fund
P.O. Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Diana Sisler
857 Post Road, #312
Fairfield, CT 06824
Title: Treasurer
Phone # (203) 331-9772

Treasurer:

Diana Sisler
857 Post Road, #312
Fairfield, Connecticut 06824
Title: Treasurer
Phone # (203) 331-9772

Designated Agent(s):

Banks or Depositories

Bank of America
162 East Putnam Avenue
Cos Cob, Connecticut 06807

Bank of America
730 15th Street, NW
Washington, DC 20005

Signed: Diana Sisler
Date Signed: 05/26/2009
Official Committee URL: http://www.himesforcongress.com

(End FEC FORM 1)

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