FEC Form 1 for Congressman Waxman Campaign CommitteeForm 1 for Congressman Waxman Campaign Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-134035

1. Congressman Waxman Campaign Committee

6380 Wilshire Blvd. #1612
Los Angeles, CA 90048
Fax: 3236554068
Email: mep20@pacbell.net

2. Date: 09/08/2004

3. FEC Committee ID #: C00013128 This committee is a Principal Campaign Committee. Candidate: HENRY A. WAXMAN
Party: National
Office Sought: House of Representatives
State is California in District: 30

Affiliated Committees/Organizations

Custodian of Records:

Mary Ellen Padilla
6380 Wilshire Blvd. #1612
Los Angeles, CA 90048
Title: Treasurer
Phone # (323) 655-4065

Treasurer:

Mary Ellen Padilla
6380 Wilshire Blvd. #1612
Los Angeles, California 90048

Designated Agent(s):

Banks or Depositories

U.S. Bank
8901 Santa Monica Blvd.
West Hollywood, California 90069

UBS Financial Services Inc.
301 E. Ocean Blvd.
Long Beach, California 90802

CA Bank & Trust
550 S. Hope St. #100
Los Angeles, California 90071

Signed: Mary Ellen Padilla
Date Signed: 09/08/2004
Official Committee FAX: 3236554068

(End FEC FORM 1)

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