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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1201245

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1. Elect Carolyn Long

    PO Box 821288
    Vancouver, WA 98682

    NOTE: Address is different than previously reported

    Email: compliance@bluewavepolitics.com;vote@electlong.com

    NOTE: Email address is different than previously reported

2. Date: 01/29/2018

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:

Jay Petterson
119 1st Ave S
Ste 320
Seattle, WA 98104
Title: Tresurer
Phone # (206) 682-7328

Treasurer:

Jay Petterson
119 1st Ave S
Ste 320
Seattle, Washington 98104
Title: Tresurer
Phone # (206) 682-7328

Designated Agent(s):

Wyatt Arnall
PO Box 702
Scappoose, Washington 97056
Title: Campaign Manager
Phone # (971) 246-4076

Banks or Depositories

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

Signed: Jay Petterson
Date Signed: 01/29/2018
Official Committee URL: electlong.com

(End FEC FORM 1)

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