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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1190909

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1. Elect Carolyn Long

    8823 NE 17th St
    vancouver, WA 98664
    Email: vote@electlong.com;wa.cl4c@gmail.com

2. Date: 11/13/2017

3. FEC Committee ID #: C00660472 This committee is a Principal Campaign Committee. Candidate: Carolyn N. Long
Party: Democratic Party
Office Sought: House of Representatives
State is Washington in District: 03

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Carolyn N Long
8823 NE 17th St
Vancouver, WA 98664
Title: Candidate
Phone # (503) 931-8005

Treasurer:

Wyatt Arnall
PO Box 702
Scappoose, Oregon 97056
Title: Tresurer
Phone # (971) 246-4076

Designated Agent(s):

Tyler Davis
7017 NW 61st St
Vancouer, Washington 98661
Title: Deputy
Phone # (971) 412-0537

Banks or Depositories

Columbia Credit Union
3003 NE 62nd Ave
Vancouver, Washington 98661

Signed: Wyatt Arnall
Date Signed: 11/13/2017
Official Committee URL: electlong.com

(End FEC FORM 1)

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