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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-436577

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1. Jim Himes for Congress

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

2. Date: 10/15/2009

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:

Laurie McTeague
468 Belden Hill Rd
Wilton, CT 06897
Title: Treasurer
Phone # (203) 761-0675

Treasurer:

Laurie McTeague
468 Belden Hill Rd
Wilton, Connecticut 06897
Title: Treasurer
Phone # (203) 761-0675

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

Citibank, N.A.
1345 Avenue of the Americas
New York, New York 10105

Signed: Laurie McTeague
Date Signed: 10/15/2009
Official Committee URL: http://www.himesforcongress.com

(End FEC FORM 1)

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