FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-797466
1. NW Sustainable Resource PAC
920 SW 6th Ave.Suite 250
Portland, OR 97204
Email: KathyT@gallatinpa.com
NOTE: Email address is different than previously reported
2. Date: 06/30/2012
3. FEC Committee ID #: C00455287This 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
9916 NW Durrett St.
POrtland, OR 97229
Title: Custodian
Phone # (503) 905-4446
Treasurer:
Kathy Talbot
920 SW 6th Ave., Ste. 250
Portland, Oregon 97204
Title: Treasurer
Phone # (503) 220-0780
Designated Agent(s):
Craig Urness
9916 NW Durrett St.
POrtland, Oregon 97229
Title: Assistant Treasurer
Phone # (503) 905-4446
Banks or Depositories
US Bank
PO Box 1800
St. Paul, Minnesota 55101
Signed: Kathy Talbot
Date Signed: 07/14/2012
(End FEC FORM 1)
Date Signed: 07/14/2012