FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-737765
1. JARED POLIS MAJORITY FUND 2012
P.O. BOX 1174SPRINGFIELD, VA 22151
Email: wwburns@earthlink.net
2. Date: 07/19/2011
3. FEC Committee ID #: C00493122This committee is an independent expenditure-only political committee (Super PAC).
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Whitney W. Burns
P.O. BOX 1174
SPRINGFIELD, VA 22151
Title: Assistant Treasurer
Treasurer:
Lisa Kaufman
P.O. BOX 1174
SPRINGFIELD, Virginia 22151
Title: Treasurer
Designated Agent(s):
Whitney W. Burns
P.O. BOX 1174
SPRINGFIELD, Virginia 22151
Title: Assistant Treasurer
Banks or Depositories
Bank of America
1501 Pennsylvania Avenue NW
Washington, DC 20005
Signed: Lisa Kaufman
Date Signed: 07/19/2011
Official Committee URL: None
(End FEC FORM 1)
Date Signed: 07/19/2011
Official Committee URL: None