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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-939203

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1. NW Sustainable Resource PAC

    920 SW 6th Ave.
    Suite 250
    Portland, OR 97204
    Email: morganb@gallatinpa.com

    NOTE: Email address is different than previously reported

2. Date: 07/14/2014

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:

Dan Occhipinti
16797 SE 130th Ave.
Clackamas, OR 97015
Title: Custodian

Treasurer:

Morgan Belz
920 SW 6th Ave.
Ste. 250
Portland, Oregon 97204
Title: Treasurer
Phone # (503) 220-0780

Designated Agent(s):

Dan Occhipinti
16797 SE 130th Ave.
Clackamas, Oregon 97015
Title: Assistant Treasurer

Banks or Depositories

US Bank
PO Box 1800
St. Paul, Minnesota 55101

Signed: Morgan Belz
Date Signed: 07/15/2014

(End FEC FORM 1)

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