FEC Form 1 for Bill Owens for CongressForm 1 for Bill Owens for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-495143

1. Bill Owens for Congress

PO Box 1575
Plattsburgh, NY 12901
Email: billowensforcongress@gmail.com

2. Date: 09/27/2010

3. FEC Committee ID #: C00464495 This committee is a Principal Campaign Committee. Candidate: William Owens
Party: Democratic Party
Office Sought: House of Representatives
State is New York in District: 23

Affiliated Committees/Organizations

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

Committee ID# C00488999
Upstate Victory 2010
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Brett Smiley
102 Waterman St
Suite 2
Providence, RI 02906
Title: Accountant
Phone # (401) 454-0991

Treasurer:

Theodore Kowalczyk
30 Dennis Ave
Plattsburgh, New York 12901
Title: Treasurer

Designated Agent(s):

Brett Smiley
102 Waterman St
Providence, Rhode Island 02906
Title: Deputy Treasurer
Phone # (401) 454-0991

Banks or Depositories

NBT Bank
83 Margaret St
Plattsburgh, New York 12901

Bank of America
201 Pennsylvania Ave, SE
Washington, DC 20003

Signed: Theodore Kowalczyk
Date Signed: 09/27/2010
Official Committee URL: http://www.billowensforcongress.ocm

(End FEC FORM 1)

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