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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-956205

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1. Kirkpatrick for Arizona

    PO Box 12011
    Casa Grande, AZ 85130
    Email: Darryl@CommonCentsConsulting.net

2. Date: 10/13/2014

3. FEC Committee ID #: C00437293 This committee is a Principal Campaign Committee. Candidate: Ann Kirkpatrick
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 01

Affiliated Committees/Organizations

Committee ID# C00542449
Copper State Majority Fund
2910 E Gary Way
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00555490
Western Woman Win
2910 E Gary Way
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00564229
AZ01 Victory Fund
2910 E Gary Way
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00569368
Kirkpatrick Gallego Victory Fund
2910 E Gary Way
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Darryl R Tattrie
PO Box 12011
Casa Grande, AZ 85130
Title: Assistant Treasurer
Phone # (602) 234-6821

Treasurer:

Daniel A Flores
PO Box 12011
Casa Grande, Arizona 85130
Title: Treasurer
Phone # (602) 295-7598

Designated Agent(s):

Darryl R Tattrie
PO Box 12011
Casa Grande, Arizona 85130
Title: Assistant Treasurer

Banks or Depositories

Wells Fargo, NA
100 W. Washington St.
Phoenix, Arizona 85003

Woodsboro Bank
900 N East St
Frederick, Maryland 21701

Signed: Daniel A Flores
Date Signed: 10/13/2014
Official Committee URL: www.kirkpatrickforarizona.com

(End FEC FORM 1)

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