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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1033097

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1. People for Derek Kilmer

    PO Box 1381
    Tacoma, WA 98402
    Email: jay@bluewavepolitics.com

2. Date: 11/17/2015

3. FEC Committee ID #: C00514893 This committee is a Principal Campaign Committee. Candidate: Derek Kilmer
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 06

Affiliated Committees/Organizations

Committee ID# C00587501
Kilmer Victory Fund
PO Box 1381
Tacoma, Washington 98402
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00591222
FriendsGiving Committee
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Jay Petterson
119 1st Ave S Ste 320
Seattle, WA 98104
Title: Treasurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
119 1st Ave S Ste 320
Seattle, Washington 98104
Title: Treasurer
Phone # (206) 682-7328

Designated Agent(s):

Banks or Depositories

Bank of America
3601 Stone Way N
Seattle, Washington 98103

Signed: Jay Petterson
Date Signed: 11/17/2015
Official Committee URL: www.derekkilmer.com

(End FEC FORM 1)

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