FEC Form 1 for Norman Solomon For Congress CommitteeForm 1 for Norman Solomon For Congress Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749002

1. Norman Solomon For Congress Committee

P. O. Box 150775
San Rafael, CA 94915
Email: treasurer@solomonforcongress.com

2. Date: 10/15/2011

3. FEC Committee ID #: C00495135 This committee is a Principal Campaign Committee. Candidate: Norman Solomon
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 02

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Ralph I Miller
2 Tamal Vista Lane
Kentfield, California 94904
Title: Treasurer
Phone # (415) 925-1077

Designated Agent(s):

Ruth Carter
93 Windstone Drive
San Rafael, California 94903
Title: Assistant Treasurer
Phone # (415) 820-3239

Banks or Depositories

Union Bank
575 Sir Francis Drake Blvd.
Greenbrae, California 94904

Signed: Ralph I Miller
Date Signed: 10/15/2011

(End FEC FORM 1)

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