Information on Submitting Arguments

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J. nature of political action committee Is this committee a controlled committee? Oyes 0 no If yes, identify the candidate who controls the committee: Is this committee a slate mailer organization? Oyes 0 no name of committee director address including zip code phone number occupation employer's name or self-employed city and state of employer name of committee director address including zip code phone number occupation employer's name or self-employed city and state of employer name of committee director address including zip code phone number occupation employer's name or self-employed city and state of employer name of committee director address including zip code phone number occupation employer's name or self-employed city and state of employer name of committee director address including zip code phone number occupation employer's name or self-employed city and state of employer J. If two or more directors of this political committee are also directors of another political committee, list the names of those directors and the name and address of the other political committee. J. signature By signing this document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260. treasurer's signature date signed for office use only initials committee ID number office number date SEL 223 received date acknowledgment sent