FEC Form 1 for Common Values PACForm 1 for Common Values PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1167592

1. Common Values PAC

901 N Washington St, Suite 700
Alexandria, VA 22314
Email: tim@kochandhoos.com

2. Date: 06/27/2017

3. FEC Committee ID #: C00442368

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Committee ID# C00544114
Barrasso Victory Committee
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Candidate ID# S6WY00068
Sen. John Barrasso
6896 Casper Mountain Rd
Casper, Wyoming 82601
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00576801
Barrasso Heller Victory Fund
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Timothy A. Koch
901 N Washington St, Suite 700
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 299-8571

Treasurer:

Timothy A. Koch
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 299-8571

Designated Agent(s):

Theodore V. Koch
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 299-8570

Banks or Depositories

Wells Fargo
330 N Washington St
Alexandria, Virginia 22314

Bank of America
600 N Washington St
Alexandria, Virginia 22314

Signed: Timothy A. Koch
Date Signed: 06/27/2017
Official Committee URL: www.commonvaluespac.com

(End FEC FORM 1)

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