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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-304626

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1. WEST LOS ANGELES HEALTH POLITICAL ACTION COMMITTEE

    555 S FLOWER ST.
    STE 4210
    LOS ANGELES, CA 900712439

    NOTE: Address is different than previously reported

    Fax: 2134894818

2. Date: 09/24/2007

3. FEC Committee ID #: C00198861

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:

DAVID L. GOULD
555 SOUTH FLOWER STREET
SUITE 4210
LOS ANGELES, CA 900712439
Title: TREASURER
Phone # (213) 489-4792

Treasurer:

DAVID L. GOULD
555 SOUTH FLOWER STREET
SUITE 4210
LOS ANGELES, California 900712439
Title: TREASURER
Phone # (213) 489-4792

Designated Agent(s):

MICHELLE MOORE SANDERS
555 SOUTH FLOWER STREET
SUITE 4210
LOS ANGELES, California 900712439
Title: ASSISTANT TREASURER
Phone # (213) 489-4792

Banks or Depositories

CALIFORNIA BANK & TRUST
550 SOUTH HOPE STREET
SUITE 100
LOS ANGELES, California 90071

Signed: DAVID L. GOULD
Date Signed: 09/24/2006
Official Committee FAX: 2134894818

(End FEC FORM 1)

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