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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754495

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1. NW Sustainable Resource PAC

    920 SW 6th Ave.
    Suite 1250
    Portland, OR 97204
    Email: MeganT@gallatinpa.com

    NOTE: Email address is different than previously reported

2. Date: 12/11/2011

3. FEC Committee ID #: C00455287

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Craig Urness
16797 SE 130th
Clackamas, OR 97015
Title: Custodian
Phone # (503) 905-4446

Treasurer:

Megan Turnell
920 SW 6th Ave.
Suite 1250
Portland, Oregon 97204
Title: Treasurer
Phone # (503) 220-0780

Designated Agent(s):

Craig Urness
16797 SE 130th
Clackamas, Oregon 97015
Title: Assistant Treasurer
Phone # (503) 905-4446

Banks or Depositories

US Bank
PO Box 1800
St. Paul, Minnesota 55101

Signed: Megan Turnell
Date Signed: 12/11/2011

(End FEC FORM 1)

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