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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1101744

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1. Liz Cheney For Wyoming

    P. O. Box 697
    Casper, WY 82602
    Email: beverlyannshea@aol.com

2. Date: 09/30/2016

3. FEC Committee ID #: C00607556 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate: Mrs. Elizabeth Cheney
Party:
Office Sought: House of Representatives
State is Wyoming in District:

Affiliated Committees/Organizations

Committee ID# C00567677
Candidate ID# C00607556
RISE PROJECT
PO Box 2485
Springfield, Virginia 22152
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mr. William Scarlett
P.O. Box 697
Casper, WY 82602
Title: Treasurer
Phone # (307) 247-1414

Treasurer:

Mr. William Scarlett
P. O. Box 697
Casper, Wyoming 82602
Title: Treasurer
Phone # (307) 247-1414

Designated Agent(s):

Banks or Depositories

BB&T
1909 K Street NW
Washington, DC 20003

Wells Fargo
50 Buffalo Way
Jackson, Wyoming 83001

Signed: Mr. William Scarlett
Date Signed: 09/30/2016
Official Committee URL: www.cheneyforwyoming.com

(End FEC FORM 1)

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