FEC Form 1 for Jim Himes for CongressForm 1 for Jim Himes for Congress

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-428842

1. Jim Himes for Congress

857 Post Road, #312
Fairfield, CT 06824
Email: teamhimes@himesforcongress.com

2. Date: 08/05/2009

3. FEC Committee ID #: C00434191 This committee is a Principal Campaign Committee. Candidate: Jim Himes
Party: Democratic Party
Office Sought: House of Representatives
State is Connecticut in District: 04

Affiliated Committees/Organizations

Committee ID# C00461913
Jared Polis Victory Fund
P.O. Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Laurie McTeague
468 Belden Hill Rd
Wilton, CT 06897
Title: Treasurer
Phone # (203) 761-0675

Treasurer:

Laurie McTeague
468 Belden Hill Rd
Wilton, Connecticut 06897
Title: Treasurer
Phone # (203) 761-0675

Designated Agent(s):

Banks or Depositories

Bank of America
162 East Putnam Avenue
Cos Cob, Connecticut 06807

Bank of America
730 15th Street, NW
Washington, DC 20005

Signed: Laurie McTeague
Date Signed: 08/05/2009
Official Committee URL: http://www.himesforcongress.com

(End FEC FORM 1)

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