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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1083072

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1. Groundfish Forum PAC

    4241 21st Avenue W
    Suite 302
    Seattle, WA 98199
    Email: groundfishforumpac@gmail.com

2. Date: 07/07/2016

3. FEC Committee ID #: C00621649 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Groundfish Forum
4241 21st Avenue W
Suite 302
Seattle, Washington 98199
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Christopher James Woodley
4241 21st Avenue W
Suite 302
Seattle, WA 98199
Title: Treasurer
Phone # (206) 213-5270

Treasurer:

Mr. Christopher James Woodley
4241 21st Avenue W
Suite 302
Seattle, Washington 98199
Title: Treasurer
Phone # (206) 213-5270

Designated Agent(s):

Banks or Depositories

Alaska USA Federal Credit Union
P.O. Box 196613
Anchorage, Alaska 99519

Signed: Mr. Christopher James Woodley
Date Signed: 07/12/2016
Official Committee URL: None

(End FEC FORM 1)

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