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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1004303

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1. Evergreen PAC

    499 S. Capitol Street, SW
    Suite 422
    Washington, DC 20003
    Email: lindsay@abconsultingdc.com

2. Date: 04/16/2015

3. FEC Committee ID #: C00576090

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Rep. Suzan DelBene
PO Box 487
Bothell, Washington 98041
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Lindsay Angerholzer
499 S Capitol Street SW
Suite 422
Washington, DC 20003
Title: Treasurer
Phone # (202) 403-0606

Treasurer:

Lindsay Angerholzer
499 S Capitol Street SW
Suite 422
Washington, DC 20003
Title: Treasurer
Phone # (202) 403-0606

Designated Agent(s):

Banks or Depositories

Bank of America
200 Pennsylvania Ave, SE
Washington, DC 20003

Signed: Lindsay Angerholzer
Date Signed: 04/16/2015

(End FEC FORM 1)

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