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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751144

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1. Tidewater Holdings Inc PAC

    P.O Box 1210
    Vancouver, WA 986661210
    Email: carol.bua@tidewater.com

    NOTE: Email address is different than previously reported

2. Date: 10/26/2011

3. FEC Committee ID #: C00450734 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Carol Bua
6305 NW Old Lower River Road
Vancouver, WA 98660
Title: Treasurer
Phone # (360) 693-1491

Treasurer:

Carol Bua
6305 NW Old Lower River Road
Vancouver, Washington 98660
Title: Treasurer
Phone # (360) 693-1491

Designated Agent(s):

Banks or Depositories

Bank of America
121 SW Morrison Street, Suite 1700
Portland, Oregon 97204

Signed: Carol Bua
Date Signed: 10/26/2011

(End FEC FORM 1)

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