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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-807235

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1. Scott Peters for Congress

    330 Encinitas Blvd., Ste. 101
    Encinitas, CA 92024
    Email: nhaley@thinkcpa.com

2. Date: 08/23/2012

3. FEC Committee ID #: C00503110 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate: Scott Peters
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 52

Affiliated Committees/Organizations

Committee ID# C00527473
Scott Peters Victory Fund 2012
330 Encinitas Blvd., Ste. 101
Encinitas, California 92024
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Nancy Haley
330 Encinitas Blvd., Ste. 101
Encinitas, CA 92024
Title: Custodian of Records
Phone # (760) 632-3600

Treasurer:

Nancy Haley
330 Encinitas Blvd., #101
Encinitas, California 92024
Title: Treasurer
Phone # (760) 632-3600

Designated Agent(s):

Robin Stephen
330 Encinitas Blvd., Ste. 101
Encinitas, California 92024
Title: Assistant Treasurer
Phone # (760) 632-3600

Banks or Depositories

California Bank & Trust
550 S. Hope St., Ste 100
Los Angeles, California 90071

Signed: Nancy Haley
Date Signed: 08/23/2012
Official Committee URL: http://www.scottpeters.com

FORM TEXT

(End FEC FORM 1)

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