FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-901213
1. LEUPOLD & STEVENS, INC. POLITICAL ACTION COMMITTEE (A.K.A. LEUPOLD & STEVENS PAC)
PO BOX 688BEAVERTON, OR 970750688
Email: mpetitt@Leupold.com;zpacs@cox.net
NOTE: Email address is different than previously reported
2. Date: 01/21/2014
3. FEC Committee ID #: C00548057 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
LEUPOLD & STEVENS, INC.P.O. Box 688
Beaverton, Oregon 970750688
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Howard WerthP.O. Box 688
Beaverton, OR 970750688
Title: Treasurer
Phone # (503) 526-1456
Treasurer:
Howard WerthP.O. Box 688
Beaverton, Oregon 970750688
Title: Treasurer
Phone # (503) 526-1456
Designated Agent(s):
Michael Petitt14400 NW Greenbrier Parkway
Beaverton, Oregon 97006
Title: Assistant Treasurer
Phone # (503) 526-1418
Banks or Depositories
Key Bank National Association1211 SW Fifth Avenue
Suite 305
Portland, Oregon 97204