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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-516107

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1. Jay Clough for Congress

    PO Box 7081
    Kennewick, WA 99336
    Email: clough@seattlecfo.com

    NOTE: Email address is different than previously reported

2. Date: 11/15/2010

3. FEC Committee ID #: C00470245 This committee is a Principal Campaign Committee. Candidate: Jerame V Clough
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 04

Affiliated Committees/Organizations

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

Gesa Credit Union
100 N. Huntington
Kennewick, Washington 99336

Bank of America
800 Fifth Ave
Seattle, Washington 98104

Signed: Philip E Lloyd
Date Signed: 11/15/2010
Official Committee URL: http://www.cloughforcongress.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

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