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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-496598

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1. DelBene for Congress

    PO Box 1406
    Bellevue, WA 98009
    Email: info@delbeneforcongress.com

2. Date: 03/03/2010

3. FEC Committee ID #: C00459099 This committee is a Principal Campaign Committee. Candidate: Suzan K DelBene
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 08

Affiliated Committees/Organizations

Committee ID# C00487330
Washington Victory 2010
603 Stewart Street #819
Seattle, Washington 98101
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00479139
Jared Polis Majority Fund
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Philip E Lloyd
603 Stewart Street #819
Seattle, WA 98101
Title: Treasurer
Phone # (206) 382-5552

Treasurer:

Philip E Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Designated Agent(s):

Philip E Lloyd
603 Stewart Street #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Banks or Depositories

Bank of America
800 Fifth Avenue
Seattle, Washington 98104

Pacific Crest Bank
3500 188th St SW #575
Lynnwood, Washington 98037

Bank of The Northwest
1015 A St. Suite 100
Tacoma, Washington 98402

Signed: Philip E Lloyd
Date Signed: 10/06/2010
Official Committee URL: http://www.delbeneforcongress.com

(End FEC FORM 1)

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