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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996579

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1. DelBene for Congress

    PO Box 487
    Bothell, WA 98041
    Email: jay@bluewavepolitics.com

    NOTE: Email address is different than previously reported

2. Date: 03/12/2015

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: 01

Affiliated Committees/Organizations

Committee ID# C00571893
Austin Innovation 2015
1050 17th St NW
Ste 590
Washington, DC 20036
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jay Petterson
19 1st Ave S Suite 320
Seattle, WA 98104
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
119 1st Ave S Suite 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Jay Petterson
119 1st Ave Suite 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Banks or Depositories

Bank of America
3601 Stone Way N
Seattle, Washington 98103

Signed: Jay Petterson
Date Signed: 03/12/2015
Official Committee URL: http://www.delbeneforcongress.com

(End FEC FORM 1)

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