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rFECFORM 1

STATEMENT OFORGANIZATION ZOI3ftUGI2 tH9:5

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r nFE C Form 1 (Revised 02/2009) Page 25. T Y P E O F C O M M I T T E E

Candidate Committee:(a) [ i^ This committee is a principal campaign committee. (Complete the candidate information below.)(b) L J ^' '^ committee is an authorized committee, and is N OT a principal campaign committee. (Complete the candidate

information below.)Name of HAR TW ELL NEIL RISER Jr.Candidate I i ' i i ' iCandidateParty Affiliation

" !|Office s==. State L ^ . . ! ]n Sought: ^ House LJ Senate [LJ] President ' '^--^-"{:District 1.^. . '](c) Th is committee supports/oppose s only one candidate, and is N OT an authorized committee.Name ofo 7- . I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ICandidate I i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i IParty Committee:, iaI (Nationa l, S tate j m s ^ K (D em o crat ic ,(d) !; jl This committee is a j B or subordinate) committee of the L-.. ..a.j Republican, etc.) PartyPolitical Action Committee (PAC):(e) L J "^^^^ committee is a separate segregated fund. (Identify connected organization on line 6.) Its conne cted organization is a:

Corporation Q Corporation w/o Capital Stock Q Labor OrganizationMembership Organization [Qj Trade Association | 0 | Cooperative

In addition, this committee Is a Lobbyist/Registrant P A C .(f) ;;~]| This committee supports/opposes more than one Federal candidate, and is N OT a separate segregated fund or party-- ^ committee, (i.e., nonconnected committee)

n Inaddition, this committee is a Lobbyist/Registrant P A C .|[^ Inaddition, this committee is a Leadership P A C . (Identify sponsor on line 6.)

Joint Fundraising Representative:(g) j i ' l This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political' -1 committees/organizations, at least one ofwhich is an a uthorized committee of a federal candidate.(h) ipnj This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more politicalL^J committees/organizations, none of which is an authorized committee of a federal candidate.

Comm ittees P articipating in Joint Fundraiser1.

I t n i \iJ F E C ID n u m b e r | C |2. I I I I I I I I I I I I I I I I I I I I I I I F E C ID n u m b e r l c j

3. I I I I I I I I I I I I I I I I I I I I I I I ID n u m b e r ^4 . I I I I I I I I I I I I I I I I I I I I I I I F E C ID n u m b e r f c l .

L J

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r FE C Fo rm 1 (Revised 02/2009) Page 3Write or Type Committee NameNEIL RISER CAMPAIGN, INC.

6. Name of Any Connected Organizat ion, Af f i l iated Committee, Jo int Fundraising Representat ive, or Leadership P A C S p o n s o r.NOIJIEL U

Mailing Address

I I I I I ICITY STATE ZIP C O D E

Relationship: Q Connected Organizat ion ^A ff i l ia ted Committee Q J o in t Fundraising Representat ive [^Le ade rship P AC Sponsor

7. Custodian of R e c o r d s : Identify by name, address (phone number -- optional) andposition of the person inpossession of committeebooks and records.

I l l lB R A D L E Y C R A T E

Full Name I I I I I I I I I I I I I,138 C O N A N T S T R E E T

Mailing Address I I I I I I I I I I I I I I I I i

I l l l I I I I I I I I I I II B E V E R L YI l l l l l l l l l l

I MA I ,01915l l l l l I I I l l l l l I I I

Title or Position CITY STATE ZIP C O D ET R E A S U R E R

I I l l l l l l l l Telephone number 617 84 8 I , 8887I I l " l ' I I

8. Trea surer: List the name and address (phone number ~optional) of the treasurer of the committee; and the name and address ofany designated agent (e.g., assistant treasurer).Full Nameof Treasurer

Mailing Address

B R A D L E Y C R A T EI I I I I I I I I I l l l l l I l l l l l l l l

1138 C O N A N T S T R E E TI I I I I I I I I I I I I I I I I I I l l l l l

I l l l I I I I I I I 1 1 ' I I IB E V E R L Yl l ' l l l ' l l l l l

CITY STATE101915I I I ' I ' ' '

Title or Position, T R E A S U R E RI l l l l l l l i I 617 I I 040 I I 000fTelephone number I i i I ~ I i i I -1 i i i

ZIP C OD E84 8 I I 8 8 8 7

I I I I I I IL J

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r nF E C Form 1 (Revised 02/2009) Page 4

Full Name ofDesignated , ,A g e n t ' I I I I I I i i i i i i i l i i i l i i i i i l l i i i i i i i IMailing Address I i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i I

l l l l l l l l I I I I I I I I I I I I l l l

I L J J I I . . . I-II I I I I I I I I l l ' l l l l__LCITY STATE ZIP C O D E

Title or PositionI I I I I I I I I I I I I I I I I I I I I Telephone number I i i I -1 i i I -1 i i i

9. Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rentssafety deposit boxes or maintains funds.Name of Bank, Depository, etc.

CHASE BANKl l l l l l l l I I I I I I I I I I I I I I I I I

.1800 MAR TIN LUTH E R KING D RIVEMailing Address I i i i i i i i i i i ' ' i i i i i i i i ' i i i i i i ' i ' i ' 'I I I I I I I I I I I I I I I I I I I I I I

I M O N R O E I I LA I |71202 .I I I I I I I I I i i i I I | I I i i i i l 'l i i i

CITY STATE ZIP C O D EName of Bank, Depository, etc.

I I I I I I I I I I I I I I I I I I I I I I

Mailing Address I i i i i i i i i I I i i i i i i i i I i i I i i i i i i i i I I il l l l l l l l I I l l l

I l l l I I I I I I I ' ' l"l ' ' ICITY STATE ZIP C O D E

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Federal E lection C ommissionE N V E L O P E R E P L A C E M E N T P A G E FOR INCOMING DOCU MENTST he FE C added this page to the end of this filing to indicate how it was received.

Hand D eliveredDate of R eceipt

PostmarkedU SPS First Class Mail[ I U SPS Registered/Certified Postmarked (R /C)

I I U SPS Priority Mail Postmarked

I I U SPS E xpress Mail Postmarked

I I Postmark Illegible

No Postmark_ Shipping^ Date"7 Overnight Delivery Service (Specify): f^tcf- ^ / ^ f i ^Next Business Day Delivery

I I R eceived from House Records & Registration Office Date of Receipt

Received from Se nate P ublic R ecords Office Date of ReceiptI [ R eceived from E lectronic Filing Office Date of Receipt

I I Other (Sp ecify):

P R E P A R E R(7/2013)

Date of Receipt or Postmarked

D A T E P R E P A R E D