FEC Form 1 for Mortgage Insurance Companies of America Political Action CommitteeForm 1 for Mortgage Insurance Companies of America Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-136711

1. Mortgage Insurance Companies of America Political Action Committee

NOTE:Commmittee Name is different than previously reported

1425 K St. NW
Suite 210
Washington, DC 20005
Fax: 2028429252
Email: sandy@micadc.org

2. Date: 10/05/2004

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

Affiliated Committees/Organizations

Mortgage Insurance Companies of America
1425 K St. NW
Suite 210
Washington, DC 20005
Relationship: connected
Organization Type: Trade Association

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: 10/05/2004
Official Committee FAX: 2028429252

(End FEC FORM 1)

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