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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-797473

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1. DULCICH INC DBA PACIFIC SEAFOOD GROUP EMPLOYEE PAC

    PO BOX 97
    CLACKAMAS, OR 97015
    Email: KathyT@gallatinpa.com

    NOTE: Email address is different than previously reported

2. Date: 07/11/2012

3. FEC Committee ID #: C00475350 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Dulcich Inc. DBA Pacific Seafood Group
16797 SE 130th Ave.
Clackamas, Oregon 97015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Craig G. Urness
9916 NW Durrett Ave
Portland, OR 97229
Title: Custodian
Phone # (503) 905-4446

Treasurer:

Kathy Talbot
920 SW 6th Ave., Ste. 1250
Portland, Oregon 97204
Title: Treasurer
Phone # (503) 220-0780

Designated Agent(s):

Banks or Depositories

Wells Fargo
PO Box 6995
Portland, Oregon 97228

Signed: Kathy Talbot
Date Signed: 07/14/2012

(End FEC FORM 1)

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