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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-779133

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1. Bill Owens for Congress

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

    NOTE: Email address is different than previously reported

2. Date: 04/18/2012

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: 21

Affiliated Committees/Organizations

Committee ID# C00501825
Jared Polis Victory Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Theodore Kowalczyk
30 Dennis Ave
Plattsburgh, NY 12901
Title: Treasurer

Treasurer:

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

Designated Agent(s):

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: 04/18/2012
Official Committee URL: http://www.billowensforcongress.ocm

(End FEC FORM 1)

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