FEC Form 1 for Kyrsten Sinema for CongressForm 1 for Kyrsten Sinema for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-870147

1. Kyrsten Sinema for Congress

PO Box 25879
Tempe, AZ 85285
Email: Darryl@CommonCentsConsulting.net

2. Date: 05/08/2013

3. FEC Committee ID #: C00508804 This committee is a Principal Campaign Committee. Candidate: Kyrsten Sinema
Party: Democratic Party
Office Sought: House of Representatives
State is Arizona in District: 09

Affiliated Committees/Organizations

Committee ID# C00542449
Copper State Majority Fund
2910 E Gary Way
Phoenix, Arizona 85042
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Darryl Tattrie
PO Box 25879
Tempe, AZ 85285
Title: Asst. Treasurer

Treasurer:

Stephen W. Anderson
PO Box 25879
Tempe, Arizona 85285
Title: Treasurer
Phone # (602) 283-9858

Designated Agent(s):

Darryl Tattrie
PO Box 25879
Tempe, Arizona 85285
Title: Asst. Treasurer

Banks or Depositories

Wells Fargo, NA
100 W Washington St
Phoenix, Arizona 85003

Signed: Stephen W. Anderson
Date Signed: 05/08/2013
Official Committee URL: www.KyrstenSinema.com

(End FEC FORM 1)

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