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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-847381

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1. People for Derek Kilmer

    PO Box 1574
    Gig Harbor, WA 98335
    Email: phil@seattlecfo.com

2. Date: 01/16/2013

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

Custodian of Records:

Philip Lloyd
603 Stewart St #819
Seattle, WA 98101
Title: Treasurer
Phone # (206) 382-5552

Treasurer:

Philip Lloyd
603 Stewart St #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Designated Agent(s):

Philip Lloyd
603 Stewart St #819
Seattle, Washington 98101
Title: Treasurer
Phone # (206) 382-5552

Banks or Depositories

Bank of America
800 5fth Ave
Seattle, Washington 98104

Signed: Philip Lloyd
Date Signed: 01/16/2013
Official Committee URL: http://www.derekkilmer.com

(End FEC FORM 1)

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