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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-93411

1. Congressman Waxman Campaign Committee

8665 Wilshire Blvd. #220
Beverly Hills, CA 90211
Email: mep20@pacbell.net

2. Date: 08/11/2003

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
8665 Wilshire Blvd. #220
Beverly Hills, CA 90211
Title: Treasurer
Phone # (310) 652-7831

Treasurer:

Mary Ellen Padilla
8665 Wilshire Blvd. #220
Beverly Hills, California 90211

Designated Agent(s):

Banks or Depositories

US Bank
8901 Santa Monica Blvd.
West Hollywood, California 90069

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

Signed: Mary Ellen Padilla
Date Signed: 08/11/2003

(End FEC FORM 1)

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