FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-392091
1. Wyoming Values PAC
901 N Washington St Ste 102Alexandria, VA 22314
NOTE: Address is different than previously reported
Fax: 8663110104Email: tim@kochandhoos.com
2. Date: 12/16/2008
3. FEC Committee ID #: C00442368This 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
John A Barrasso
6896 CASPER MOUNTAIN ROAD
CASPER, Wyoming 82601
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Timothy A. Koch
901 N Washington St, Ste 102
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 299-8571
Treasurer:
Timothy A. Koch
901 N Washington St, Ste 102
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 299-8571
Designated Agent(s):
Banks or Depositories
Wachovia
330 N Washington St
Alexandria, Virginia 22314
Signed: Timothy A. Koch
Date Signed: 12/16/2008
Official Committee FAX: 8663110104
(End FEC FORM 1)
Date Signed: 12/16/2008
Official Committee FAX: 8663110104