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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1030871

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1. Congressional Black Caucus PAC

    PO Box 75357
    Washington, DC 20013

    NOTE: Address is different than previously reported

    Email: admin@evanskatz.com

2. Date: 10/22/2015

3. FEC Committee ID #: C00147512

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Earl Jenkins
1050 17th Street NW
Suite 600
Washington, DC 20036
Title: Treasurer
Phone # (202) 699-8091

Treasurer:

Earl Jenkins
1050 17th Street NW
Suite 600
Washington, DC 20036
Title: Treasurer
Phone # (202) 699-8091

Designated Agent(s):

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 33622

Industrial Bank
4812 Georgia Ave NW
Washington, DC 20011

Signed: Earl Jenkins
Date Signed: 10/22/2015

(End FEC FORM 1)

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