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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-728714

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1. Cicilline Committee

    118 N Main St, Suite 2
    Providence, RI 02903
    Email: info@cicilline.com

2. Date: 05/17/2011

3. FEC Committee ID #: C00476564 This committee is a Principal Campaign Committee. Candidate: David N Cicilline
Party: Democratic Party
Office Sought: House of Representatives
State is Rhode Island in District: 01

Affiliated Committees/Organizations

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

Custodian of Records:

Brett P Smiley
118 N Main St, Suite 2
Providence, RI 02903
Title: Dpty Treasurer
Phone # (401) 454-0991

Treasurer:

Nancy L Benoit
28 Berkeley St
Woonsocket, Rhode Island 02895
Title: Treasurer
Phone # (401) 766-7908

Designated Agent(s):

Brett P Smiley
118 N Main St, Suite 2
Providence, Rhode Island 02903
Title: Deputy Treasurer
Phone # (401) 454-0991

Banks or Depositories

Citizens Bank
120 Waterman St
Providence, Rhode Island 02906

Bank of America
730 15th St NW
Washington, DC 20005

BankRI
1 Turk's Head Place
Providence, Rhode Island 02903

Signed: Brett P Smiley
Date Signed: 05/17/2011
Official Committee URL: http://www.cicilline.com

(End FEC FORM 1)

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