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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-133928

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1. Mortgage Insurance Political Action Committee

    1425 K St. NW
    Suite 210
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Fax: 2028429252
    Email: sandy@micadc.org

2. Date: 02/04/2004

3. FEC Committee ID #: C00113258 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Suzanne C. Hutchinson
1425 K St. NW
Suite 210
Washington, DC 20005
Title: Executve VP
Phone # (202) 682-2683

Designated Agent(s):

Banks or Depositories

Bank of America
15th & Pennsylvania Ave. NW
Washington, DC 20005

Signed: Suzanne C. Hutchinson
Date Signed: 02/04/2004
Official Committee FAX: 2028429252

(End FEC FORM 1)

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