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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-463692

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1. Harris Government Affairs Fund

    111 W. Monroe
    P.O. Box 755
    Chicago, IL 60603

2. Date: 04/16/2010

3. FEC Committee ID #: C00086256

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Mike Lewis
2551 Glen Eagles Dr.
Olympia Fields, Illinois 60461
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Harris Bank
111 West Monroe St.
P.O. Box 755
Chicago, Illinois 60603

Signed: Mike Lewis
Date Signed: 04/16/2010

(End FEC FORM 1)

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