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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-723725

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1. Jaime Herrera Beutler Victory Committee

    11811 NE 1st Street
    Suite A306
    Bellevue, WA 98005

    NOTE: Address is different than previously reported

    Email: katiegranger@wsrp.org

2. Date: 04/15/2011

3. FEC Committee ID #: C00488288

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

None
, ____
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Sarah K. Granger
11811 NE 1st Street
Suite A306
Bellevue, WA 98005
Title: Treasurer
Phone # (425) 460-0570

Treasurer:

Sarah K. Granger
11811 NE 1st Street
Suite A306
Bellevue, Washington 98005
Title: Treasurer
Phone # (425) 460-0570

Designated Agent(s):

Banks or Depositories

Chase Bank
10550 NE 8th St
Bellevue, Washington 98004

Signed: Sarah K. Granger
Date Signed: 04/15/2011

(End FEC FORM 1)

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