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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-135062

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1. Florida Crystals Inc PAC

    1420 New York Avenue. NW
    Suite 800
    Washington, DC 20005
    Fax: 202-347-2992

2. Date: 08/26/2004

3. FEC Committee ID #: C00296624 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Parks Shackelford
1420 New York Avenue. NW
Suite 800
Washington, DC 20005
Title: Vice President
Phone # (202) 347-2980

Designated Agent(s):

Gaston Cantens
1 North Clematis Street
Suite 200
West Palm Beach, Florida 33401
Title: Vice President
Phone # (561) 655-6303

Banks or Depositories

Signed: Parks Shackelford
Date Signed: 09/17/2004
Official Committee FAX: 202-347-2992

(End FEC FORM 1)

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